PREMISE NQ STREET I INSPECTION DATE
I 1 l I —Z2—a2
FLOOR `p SORO CODE BLOCK LOT SQUAD N BADGE I
I I c i t I _D Ln
I R f A Y4 R BLDG TYPE BASIS OF INSPECr 1 PHOTOS TAKEN
1a1~~ 1 YES I NO
CONTRACTORS NAME S SAMPLE NQ
t &f rn
A RC A CITY ,• t AC SAMPLE NO.
"g
STATE ' ZIP t 3 PHON R*v ~~ D SAMPLE NO.
U180 RY NAME OWNERS NAME
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STATE
R
• ZIP
CITY
H
I ADDRESSt
STATE 1̀
C
.
- ;
b0 Z'2 ADO ZIP t ~ 0 \ PHONE
CONTACT PERSON— ~~~ TIME OF IlNSPECTION FROM: ~am/pm TO: • rNprn
INSPECTION DISCLOSED:
t c~
_
cC L
l 6i
NovA INFRACTIONS
I , RESULT CODE
NOV'I
INITIALS
BORO I - MANHATTAN 2 - BRONX 3 - BROOKLYN A - QUEENS 5 -RICHMOND
BLDG TYPE A > S Stories B <6 Stories C Single Family
0 School E Hospital F Public Owned Property
RESULT CODES 1 - Violation Issued 2 - No Violations Issued 3 - No Access
A a Project not Started (No NOV) 5 - Project Completed (No NOV) ACP 30,/93
FILE
NYC-WTC 000122770
OCR can misread numbers and units. Confirm readings against the page image before using them.
NYC-WTC_000122770Source: NYC Law Department, mirrored locally
Invoice from Fiber Control, Inc. dated July 18, 2002, billing the Department of Environmental Protection for facade cleaning services at multiple job sites.