A DRESS Pte+`• ~CIITY 1~ , , SAMPLE NO.
lA~ A-~ i
STATE . ` ZIP 3 PHON SAMPLE NO.
•
RY NAME
LABORATORY OWNERS NAME
W A-►~ ~£ Q T►~Q~.RSt P s fc MAC )t' C.,
AD !, C S CITY N j ADDRESS CITY
STATE ZIP PHO L „irQ STATE ZIP
1 bo — Ii
CONTACT PERSON: V TIME OF INSPECTION FR M: TO: )a
INSPECTION DISCLOSED:
1— 4? jL cL c
W i
T ' 'orc~
• -
( _
C-
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NOV a INFRACTIONS RESULT CODE
NOV a SUPERVISORS ITIALS
BORO 1 - MANHATTAN 2 - BRONX 3 - BROOKLYN 4 - QUEENS 5 -RICHMOND
BLDG TYPE A > 6 Stories $ <6 Stories C Single Family
D School S Hospital f Public Owned Property
RESULT CODES 1 e Violation Issued 2 - No Violations Issued 3 - No Access
4 R Project not Started (No NOV) 5 - Project Completed (No NOV) #CP 30193
FILE
NYC-WTC 000121815
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NYC-WTC_000121815Source: NYC Law Department, mirrored locally