14-001 RECORDS REQUEST City of Northampton
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, Massachusetts w2s�s
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w �. DEPARTMENT OF BUILDING INSPECTIONS 4t
212 Main Street I Municipal Building y'k
Northampton, MA 01060 ss '�1ti�'
Phone: 413-587-1240 Fax: 413-687-1272
REQUEST FOR PERMISSION TO VIEW RECORDS
OR HAVE COPIES OF DOCUMENTS MADE
PLEASE RETURN FORM TO THE BUILDING DEPARTMENT
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DATE: 3/ jLt MAP: BLOCK: ('°1- ?ors,, OO )- cO
PROPERTY ADDRESS: /01 a' dv�-�� Grc-)arc Vic,
ANY SPECIFIC INFORMATION YOU ARE SEARCHING FOR? /11. 1cr,<- /6 come,-E-
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REQUESTOR NAME: °l
ADDRESS: ( 6,-,1-1 S (r=ti 1°y Co �nect;ct.1T'
EMAIL: SL .� 7zicc
PHONE#: 'Uc'� 45 -4
UNDER MASSACHUSETTS GENERAL LAWS PART I,TITLE X, CHAP. 66, SEC. 10, WE HAVE THE RIGHT TO
MEET THE ABOVE REQUEST WITHIN TEN (10) BUSINESS DAYS OF THE ABOVE LISTED DATE.
UNDER FEDERAL LAW, STAMPED PLANS AND DRAWINGS MAY NOT BE COPIED IN ANY FORM WITHOUT
PERMISSION OF THE ARCHITECT.
REQUESTS ARE OFFICIAL DOCUMENTS AND BECOME A PERMANENT PART OF THE FILE,AND ARE
SUBJECT TO PUBLIC VIEWING
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