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Document / 3 pages

Fire Department Inspection Order Form, Sept 1993

Machine-extracted title · confidence 95%

FDNY Bureau of Fire Prevention order form for scheduling or requesting a fire safety inspection at a specific premises.

NYC-WTC_000166049–000166051
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Scanned page image, NYC-WTC_000166050
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NYC 9/11 Public Portal Document

INDICATE CHANGES BELOW PLEASE PRINT ALL INFORMATION PREMISES ADDRESS

DEMISES INFO I I I I I I I I I I I I I j I I I I I I I I I I I I I I I I I I rREET NUMBER j | | | | | | | PREFIX I I I

TREETNAME | | | I I I I I I 1 | | | | | | | 1 | | |

/PE •| Illi SUFFIX- [ I I I I I I I I I I I BORO

AKA ADDRESS

TREET NUMBER | | | | | | | | \ PREFIX I I I

TREETNAME J | | | I I I I I I I I I I I I I I I I I YPE . Il II I • SUFFIX I I [

ACCOUNT NAME (CIN) - OWNER NAME (CIO) X - IF CHANGE IN NAME ONLY I I I I I I I I I I I I I I I I I I I I I I I I I X -IF CHANGE IN OWNER DATE OF OWNER CHANGE | | 1X1 I 1X1 MAILING ADDRESS (CIMA)

sSnfo n I I n I I I I I I n I 1 I I I I 1 ill I I 1 m ITREET NUMBER | | | | | | | | PREFIX I I I

■ I I I I 11 I I I I I I I I I I I I I I I ^PE I I I I I SUFFIX I I I . I I I I I I I 1 I I BORO

ENTER HERE FOR OUT OF TOWN ADDRESS (CIMA)

I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I Tn :rrY I I I I I I I I I I I I I I I I state I I I 2"’ I I I I I I I I I 1 REMARKS

INSPECTOR l.p. COMMENTS INSPECTOR- /?■ ._____ date n Pl) EXAMINER DATE csMZttknz NTRY CLERK DATE

AUDITOR date oznzozo SECOND INSPECTION ■ ■ INSPECTOR I.D. COMMENTS INSPECTOR - ———. DATE nTzTTnzo rrzn - EXAMINER date CTZkDZVO iNTRY CLERK. __—_ DATE •rrvrTvr~r AUDITOR ——- :date EZETdZnzn NYC-WTC_000166050

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NYC-WTC_000166050Source: NYC Law Department, mirrored locally

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