Rangehood Inspection Report, Oct 1990

NYC 9/11 Public Portal Document

INDICATE CHANGES BELOW PLEASE PRINT ALL INFORMATION •I

PREMISES ADDRESS I SSSSI^ I I H I I H 1 I I I I I H I I I I I I III I I LX-LZ] STREET NUMBER | | | I I I I I CZT j STREET NAME | | | | | | | | | | | | | [ | | | | | |~| Z

TYPE I I H I SUFFIX I I I I I I I I I I I I BORO [ I

AKA ADDRESS

STREET NUMBER | | | | | | |~] PREFIX I I I

STREET NAME | | | | | | | | 1 I I I I I I I I I I I I •TYPE I I I I I SUFFIX ![J

ACCOUNT NAME (CIN) - OWNER NAME (CIO)

X - IF CHANGE IN NAME ONLY

X-IF CHANGE IN OWNER

DATE OF OWNER CHANGE rnxrnxm MAILING ADDRESS (CIMA)

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STREET NAME | | | | | j | | | | | | 1 | I I I 1 I I

TYPE I I H I SUFFIX I I I 2"= I I I I I I I I I I BORO P~|

ENTER HERE FOR OUT OF TOWN ADDRESS (CIMA)

I I I I I I I I I I I I I I I n Il I H I I I H I I I I H T~rn CITY I I I I I I I I I I I I I I I I I ■! I ZIP I I I I I I I I I I REMARKS

date INSPECTOR I.D. COMMENTS INSPECTO examines:^. — date SZffl ENTRY CLERK date FXTW^rnM^ 3^ auditor OATS rTVTTTxTTI SECOND inspection COMMENTS DATE INSPECTOR I.D. INSPECTOR EXAMINER DATE rm ENTRY CLERK DATE

AUDITOR DATE

NYC-WTC_000166048