31C-026 (3) City of Northampton
Isassachusetts
DEPARTNi.ENT OF BUILDING INSPECTIONS
212 Main Street o Municipal Building
r� laorthampton, LJA 01060
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INSPECTOR
Louis Hasbrouck Phone: (413) 587-1240 Chuck Miller
Building Commissioner Fax: (413) 587-1272 Assistant Commissioner
FAX THIS TO: 413-537-1272
REQUEST FOR PERMISSION TO VIEW RECORDS
OR HAVE COPIES OF DOCUMENTS MADE
PLEASE DEEP THESE DOCUMENTS IN CHRONOLOGICAL ORDER*
DATE: 201�`` —� MAP: BLOCK:
FILE ADDRESS: S R)r) CTS v,A
NAME:
ADDRESS: wo Orjr) -�. Suwgn-lI UZ(q`I
PHONE ':
E-MAIL: ° X(Q?
UNDER MASS GENERAL LAWS WE HAVE THE RIGHT TO MEET THE
ABOVE REQUEST WITHIN TEN (10) DAYS OF THE ABOVE LISTED DATE.