32C-169 (13) Grz#Lt oaf 'Wm�flpllpfalt z _
a a Mit55ac1lull(tta j
r DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street ' Municipal Building '
Northnmpton, Mass. 01060
REQUEST FOR PERMISSION TO VIEW RECORDS
OR HAVE COPIES OF DOCUMENTS l`lf'?DE
'' P EJ�SE KEEP THESE DOCUMENTS IN CHRMIOLOGIC�^,I. ORDER r r
DATE: / WAGE : PLOT:
FILE ADDRESS :
N�r,.r : /n�� Dt�s�? �... ADDRESS : �c�Ci �c � S
PHONE ' :- � 3d
UNDER i1ASSACHUSETTS GENERAL L.M'7S S'aE rAVE Tn E RIGii`' TO A1EET
THE ADOVE REQUEST �•JITi-?Iti TEN'' ( 1 0 ) D .YS OF Ti-i,_ t1.130VE LISTED
DATE .