24D-320 (3) City of Northampton
Massachusetts
DEPARDENT OF BUILDING INSPECTIONS
212 Main Street • Municipal Building L
Northampton, MA 01060 S ASS`
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: ! ( MAP: ,,V BLOCK:
FILE ADDRESS: 66 `q D Vn j A w /1 0'q j
NAME: 1,57�L'f �Gl.714
ADDRESS: f O k-1??G
PHONE#:
MASSACHUSETTS GENERAL LAWS GRANT US TEN (10)WORKING DAYS
OF THE ABOVE LISTED DATE TO MEET THIS REQUEST.