17A-050 (4) City of Northampton
Massachusetts
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DEPARTI✓.ENT OF BUILDING INSPECTIONS ;
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212 Main Street o Municipal Building
Northampton, MA 01060iJ1
INSPECTOR
Louis Hasbrouck Phone: (413) 587-1240 Chuck Miller
Building Commissioner Fax: (413) 587-1272 Assistant Commissioner
FAX THIS TO: 413-587-1272
REQUEST FOR PERMISSION TO VIEW RECORDS
OR HAVE COPIES OF DOCUMENTS MADE
*PLEASE KEEP THESE DOCUMENTS IN CHRONOLOGICAL ORDER*
DATE: k6"- 0 MAP: BLOCK: '�S_o
FILE ADDRESS: l �� t �G � �� �/CA3vu_
NAME: �� <�
ADDRESS: LC Oc 6 6-&
PHONE #: L Ll
E-MAIL:
UNDER MASS GENERAL LAWS WE HAVE THE RIGHT TO MEET THE
ABOVE REQUEST WITHIN TEN (10) DAYS OF THE ABOVE LISTED .DATE.