29-059 (3) 04„'StwNp�o
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DBPARTMBNT OF BUILDING INSPECTIONS
INSPECTOR 212 Main Street ' Municipal Building
Northampton, Mass. 01060
Francis X. Sienkiewicz
REQUEST FOR PERMISSION TO VIEW RECORDS
OR HAVE COPIES OF DOCUMENTS MADE
_***PLE S KEEP THESE DOCUMENTS IN CHRONOLOGICAL ORDER***
DATE:— PAGE: PLOT:
FILE ADDRESS:
NAME: ADDRESS:
PHONE
UNDER MASSACHUSETTS GENERAL LAWS WE HAVE THE RIGHT TO MEET
THE ABOVE REQUEST WITHIN TEN (10) DAYS OF THE ABOVE LISTED
DATE.