36-152 (2) DEPARTMENT OF BUILDM WSPEOTIONS
INSPECTOR 212 Main Street • Municipal Bw'lding
Northampton, Maus. 01060 Y
Francis'X. Sienkiewicz
REQUEST FOR PERMISSION TO VIEW RECORDS
OR HAVE COPIES OF- DOCUMENTS MADE qq
DATE:- ^I _ PAGE:— PLOT:
FILL ADDRESS.: - f
NAME: �b j •AOLT) ADDRESS: PD, 'Oby
PHONE #: .
UNDER MASSACHUSETTS -GENERAL LAWS WE HAVE .THE RIGHT TO MEET
THE ABOVE REQUEST -WITHIN TEN (10) DAYS OF THE ABOVE LISTED
DATE.