PREMISE NO STREET SPEC►ION d►TE
15 T T
FLOOR ZIP BOROCODE
J LOT SOWO.
1
DOE.
.
3'- i Dtn
E R mss s
P t u
_-
_ /f i BLDG TYPE BASIS OF INSPEa. PNOIOS TAKEN YES I NO
CONTRACTORS NAME 1 `t a C . . ' SAMPLE NQ
A RESS SAMPLE NQ
CS CITY
STATE ZIP 3 PHON SAMPLE NQ
LAB RY NAME OWNERS NAME
w *%ePA-, . J re.L P
AD11RE8 CITY ' ADDRESS CITY
14 S 1
Z. • N'
STATE ZIP l STATE ZIP O
j bo —b O
CONTACT PERSON: TIME Of INSPECTION FROM: TO:
3
INSPECTION
DISCLOSEDTLa
uc n...~-- • n
I NOV 0 INFRACTIONS RESULT CODE
NOV 0
INITIALS
BORO I . MANHATTAN 2 - BRONX 3 - BROOKLYN 4 - OUEENS 5 .RICHMOND
BLDG TYPE A > 6 Stories 8 <6 Stories C Single family
0 Sdrool E Hospital F Public Ow sd Property
RESULT CODES I - Violation Issued 2 . No Violations Issued 3 - No Access
Project not Started (No NOV) 5 - Project Completed (No NOV) ACP 30193
NYC-WTC 000127106
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NYC-WTC_000127106Source: NYC Law Department, mirrored locally