FDNY Inspection Order form

NYC 9/11 Public Portal Document

A-10(D) (1/91) 72-910143-117-P CITY OF NEW YORK ('I CROSS STREETS BATTALION FIRE DEPARTMENT BUREAU OF FIRE PREVENTION D.O

VIOLATION ORDER D 65835 To / . - . ADDRESS NAME OF OWNER. LEASEE, OCCUPANT. ETC. .iCzy .:y 7 ROOM NO. OR FLOOR type of occupancy ACCOUNT NO.

Sir: An inspection this date of the above premises indicates the existence of the following violations under the enforcement jurisdiction of this Department. You are hereby directed to correct such violations by compliance with the following order: <?<

STANDARD ORDER ITEM FORM NO. NO.

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Ml If this order has not been comphed with in, / ■- days of the issuance date, A SUMMONS will be served for violations of the Administrative Code of the City of New York.

TO 25 TO 24 FOR -NUMBERING POR DISMISSAL Fire Commissioner

This is to certify that I have made an inspection of said premises and have issued the above order to;

NAME OF PERSON WHO RECEIVED THIS ORDER TITLE PHONE # 7 /

inspector / date UNIT

Unit Address Unit Telephone

NYC-WTC_000166061