SPEC A" DATlx !
W t LL( f
_ -
lt7T SQUAD r DGE
DOP pp GOF40 000E BLOCK
o L 1) Aot
cCJi PHOtOS TAKEN YES I NO
r BLDG TYPE BASIS OF I NSPECT•fj
SAMPLE NQ
:ONTRCATORS NAME ! ~f ! L e ~; ®~
SAMPLE NO
C7 CITY
PRESS
Ca o P~.S,S t+~+l'E- ~J {~•FS~A•C`i
SAMPLE N0.
PHON
STATE
OR r
ZIP ,~
3 7g3
OW ERS NAME
LA A MY NAME Y -i J ~ ~y
~F6. r~4E n3 f
~ S AO~ESS' - cin
~ CITY ~l
At,14aEs
STATE •L e ZIP y r PHONE
STATE • ZIP l VC O ,Z'l~pp
~ TO: pfl
TIME OF INSPECTION FROM:
CONTACT PERSON:
BLDG TYPE A > B Stones B < d Stones C single Fwniiy
D School £ Nospitai F Public Owned Property
RESULT CODES I . violation Issued 2 • Wo Violations Issued 3 - Wo Aeeess
4 - Project not Started (No NOV) . 5 R Project Completed (No NOV)
FILE
NYC-WTC 000118846
OCR can misread numbers and units. Confirm readings against the page image before using them.
NYC-WTC_000118846Source: NYC Law Department, mirrored locally