PREMISE NQ STREET I DATE
-- 3 r 3 o
FLOOR 21P BORO CODE •IB LOT SQUAD 0 BADG a
.
13?~ i -i ott
BLDG TYPE BASIS OF O n p O PHOTOS TAKEN YES? NO
I Lu Y►s1' INSPECT. ~~ `?too
CONTRACTORS NAME• 1 t e 1'►~ ' ' n B~ SAMPLE NO
A ESS CITY 1~
~ 1 SAMPLE NO
C d ~ elJg ~,
STATE ZIP 3 PMON _ SAMPLE NO
D
LABORATORY NAME OWrr~~R E - fn1 ~,
Q
W 1C A•~.~r-£.2 I.-SWA Q N 1 v~ pz dC Cs.. n C
AD~RE • CITY N • ADDRESS CITY
STATE- • "P l O STATE ZIP
,J bo t LZ-o p
CONTACT PERSON: TIME OF INSPECTION FROM: m TO:
l~
INSPECTION DISCLOSED:
~•"~- L~4Ro MA VL
4S
NOV INFRACTIONS
I
a RESULT CODE
NOV •
1 I I I .!E
I SUPEZS W ITIALS
i .
BORO I - MANHATTAN 2 - BRONX 3 - BROOKLYN 4 - QUEENS 5 .RICHMOND
BLDG TYPE A > 6 Stories . B <6 Stories C Sing a Family
D School I Hospital F Public Oerned Property
RESULT CODES I - Violation Issued 2 - No Violations Issued 3 - No Access
4 - Project mot Started (No NOV) 5 - Project Completed (No NOV) ACP 3M3
NYC-WTC 000100140
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NYC-WTC_000100140Source: NYC Law Department, mirrored locally