03-015 City of Northampton
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Massachusetts . r
DEPARTL+ Wr OF BUILDING INSPECTIONS a"
212 Main Street • Municipal Building
Northampton, MA 01060
INSPECTOR
ANTHONY PATILLO
BUILDING COMMISSIONER
THIS FORM MAY BE FAXED TO: 413-587-1272
REQUEST FOR PERMISSION TO VIEW_RECORDS
OR S AVE COPiEiS-t i'--Ij 3CUMENTS MADE
*PLEASE KEEP THESE DOCUMENTS IN CHRDNOLQ9 DER*
DATE: � I (J MAP: "�, BLOCK: C� 1
FILE ADDRESS: `- �`� n'l 2 CAA-
NAME: To C
ADDRESS. r7 V- A
PHONE#: ` 3 �5)
MASSACHUSETTS GENERAL-LAWS GRANT US TEN(10)WORKING DAYS
OF THE ABOVE LISTED DATE TO MEET THIS REQUEST.