PREMISE NQ STREET
,A, INSPECTION DATE
TT 7'i-r g ib T&EET
FLOOR ZIP BORO CODE BLOCK 1.0T SQUAD e BADGEa
1 AotD_
P L P( BLDG TYPE BASIS OF INSPECT. PHOTOS TAKEN YES I NO
CONTRACTORS NAME t ' n ®6 SAMPLE NO
A DR ~ g A CCTV , t T L• SAMPLE NO.
O W
STATE 1 ZIP 1p3~/~• PHON g SAMPLE NO.
LASO A RY NAME OWNERS NAME
Y +o-se€ Q aetrta P
A RES • 4 5 f CITY N J A DRESS PI-
~- 1 CITY
STATE ZIP b o HO 1,,i
VV -o c STATE ZIP T PHONE
CONTACT PERSON: TIME OF INSPECTION FROM: a 1 an t3 TO: Ic
INSPECTION DISCLOSED:
o
a -e- V > , cLE
k - 34
_1D ___
^^^^ ' - BRONX 3 : BROOKLYN 4 - QUEENS 5
'LOG TYPE A > 6 Stories RICHMOND
8 <6 Stories C Single Family
0 School Hospital F Public Owned Property
RESULT CODES 1 Violation Issued 2 - No Violations Issued 3 No Access
A Project not Started (No NOV) 5 - Project Completed (No NOV)
I4CP 3Q93
FILE
NYC-WTC 000122255
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NYC-WTC_000122255Source: NYC Law Department, mirrored locally