29-064 City of Northampton
I Massachusetts f
DEPAR MENT OF BUILDING INSPECTIONS ? �`
212 Main Street • Municipal Building y
Northampton, MA 01060
INSPECTOR
ANTHONY PATILLO
BUILDING COMMISSIONER
THIS FORM MAY BE FAXED TO: 413-587-1272
REQUEST FOR PERMISSION TO VIEW RECORDS
OR HAVE COPIES OF DOCUMENTS MADE
*PLEASE KEEP THESE DOCUMENTS IN CHRONOLOGICAL ORDER.*
DATE: '2 o- MAP: BLOCK: &P
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FILE ADDRESS. za(4
NAME:
ADDRESS:
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PHONE#:
MASSACHUSETTS GENERAL LAWS GRANT US TEN (10)WORKING DAYS
OF THE ABOVE LISTED DATE TO MEET THIS REQUEST.