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City of Northampton Massachusetts F? G DEPARTMENT OF BUILDING INSPECTIONS :, 212 Main Street • Municipal Building Jts. �aCa Northampton, MA 01060Y" � Property Address: 39 Brierwood Drive Florence, MA 01062 Contractor Name: American Installations Address: 130 College Street Ste. 100 City, State: South Hadley, MA Phone: 43-552-0200 Property Owner Name: David Willis Address: 39 Brierwood Drive City, State: Florence_ MA 01062 I, American Installations (contractor) attest and affirm that the building I intend to insulate does not have any open air(knob and tube)wiring in the spaces to be insulated and that I have provided the property owner with a copy of this affidavit. 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