FLOO ZIP BORO E BLOCK LOT SQUAD #
fFJ~ loo ' 1 BADGE #
to
BLDGJgPE BASIS OF INSPE 1 /8 PHOTOS TAKEN YES! NO
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CONT NA SAMPLE NO.
ADDRESS SAMPLE NO.
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STATE ZIP ~ HO{NN SAMPLE NO.
LABORATORY NAME OWNERS NAME
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ADDRESS CITY ADDRESS
t ITY
STATE ZIP O STATE t ZIP
x-13` Z o PHONE
Z
CONTACT PERSON: TIME OF INSPECTION FROM: am m TO:&ao a
INSPECTION DISCLOSED:
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L
M1
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o ç COJ
t AQ &D its
NOV # INFRACTIONS I
RESULT CODE
NOV #
SUPERVISORS INITIALS
BVHV 1 = MANHATTAN 2 = BRONX 3 = BROOKLYN 4 - OUE(:NS 5 =RICHMOND
BLDG TYPE A > 6 Stories B <6 Stories C Single Family
D School E Hospital F Public Owned Property
RESULT CODES 1 - Violation Issued 2 = No Violations Issued 3 = No Access
4 = Project not Started (No NOV) 5 = Project Completed (No NOV) ACP 30/93
cis c
NYC-WTC 000100492
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NYC-WTC_000100492Source: NYC Law Department, mirrored locally