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03-015 City of Northampton s ~r tint Massachusetts . r DEPARTL+ Wr OF BUILDING INSPECTIONS a" 212 Main Street • Municipal Building Northampton, MA 01060 INSPECTOR ANTHONY PATILLO BUILDING COMMISSIONER THIS FORM MAY BE FAXED TO: 413-587-1272 REQUEST FOR PERMISSION TO VIEW_RECORDS OR S AVE COPiEiS-t i'--Ij 3CUMENTS MADE *PLEASE KEEP THESE DOCUMENTS IN CHRDNOLQ9 DER* DATE: � I (J MAP: "�, BLOCK: C� 1 FILE ADDRESS: `- �`� n'l 2 CAA- NAME: To C ADDRESS. r7 V- A PHONE#: ` 3 �5) MASSACHUSETTS GENERAL-LAWS GRANT US TEN(10)WORKING DAYS OF THE ABOVE LISTED DATE TO MEET THIS REQUEST.