31D-126 (13) City of Northampton
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F�; E DEP.ARMENT OF 3UILDII9G INSPECTIONS
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212 Main Street o Municipal Building
Northampton, 1,A 01060 '+
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INSPECTOR
Louis Hasbrouck Phone: (413) 587-1240 Chuck Miller
Building Commissioner Fax: (413) 587-1272 Assistant Commissioner
FAX THIS TO: 413-537-1272
REQUEST FOR PERMISSION TO VIEW RECORDS
OR HAVE COPIES OF DOCUMENTS MADE
*PLEASE KEEP THESE DOCUNIENTS IN CI IRONOLOGICAL ORDER*
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DATE: MAP: BLOCK:
FILE ADDRESS:
NAME: '1�
ADDRESS:
PHONE #.: 4 1i'05
E-MAIL: _ f Lk .
UNDER MASS GENERAL LAWS WE HAVE THE RIGHT TO MEET THE
ABOVE REQUEST WITHIN TEN (10) DAYS OF THE ABOVE LISTED DATE.