38B-173 RECORDS REQUEST City of Northampton
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Massachusetts 4t :C; 've
x,4 k'r u' �`6 '}i DEPARTMENT OF BUILDING INSPECTIONS
v .a, : 212 Main Street • Municipal Building h b.
t: �fr° Northampton, MA 01060 41ir iir5S�
• Phane: 413-587-240 Fax: 413-667-1272 bW �'
REQUEST FOR PERMISSION TO VIEW RECORDS
OR HAVE COPIES OF DOCUMENTS MADE
PLEASE RETURN FORM TO THE BUILDING DEPARTMENT
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DATE: 2 2 2 MAP: BLOCK:
PROPERTY ADDRESS: 4/9A-r-tgree xArithai, /2, /nx wace 0
ANY SPECIFIC INFORMATION YOU ARE SEARCHING FOR? Am, ie..%0 pow./,
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REQUESTOR NAME: ( fl . ..d:.A S?-encirl P.C. MN K: Kir) gfro 3G`
ADDRESS: a 1/4/iici Alke..„,.
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EMAIL: K8e3-54m it e'd•CO - )
PHONE#: 1-"/3- S7-19 -DDT/ /
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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