FDNY Inspection Order form, July 1994

NYC 9/11 Public Portal Document

♦ I* PjfWVORK FIRE DEPARTMENT, CITY Of NEW YORK - BUREAU OF FIRE PREVENTION 1 b' ct INSPECTION ORDER fbC f'" 14 DATE ACCOUNT TYPE ALPHA PREFIX DO ADM CO NO FEE ACT SEE ATT. LIST CURRENT PERMIT EXPIRES

7 / 2 L / 7 J 2uT111T 1 1 ■d1 2 X 12/95 CHANGES CHANGES CHANGES CHANGES PLEASE INDICATE ANY OF THESE COLUMN CHANGES AT RIGHT------------ > L □ r J LL .1 □ iT! □ CHECK HERE FOR ANY Clou ctcu INSPECTION TYPE ’ 1 - SCHEDULED 2 ■ RE-INSPECTED CHANGESAND INDICATE 3 - REQUESTED BELOW OR ON REVERSE CIMALJ CIN U 4 - COMPLAINT PREMISES ADDRESS AKA ADDRESS

t/! Jay SILVEKaTLiN-' J A L L T 2 A D L C 2 N r ?■ Y YUXX^ NT IC'14^.

BILLLING ADDRESS ACCOUNT NAME

wO CL 2 T A A l! L L C; N I 7 P I 0 s r UN CAi t Y uXK> NY 1 c7

ITEM CODE "SUB CODE QTY " DESCRIPTION ■“ FLOOR NO?"

o64 JO 1 PANGfcHuOb ANNUAL INSPECTION 9

2 .A FL J 1 * H U 2 i) H FL .11 All 01. U C FL ♦ HOOD u FL *H00 0 E FL *0000 F FL N Z: A I* P N2*APP NZ AP P N Z * A P f NZ:APP NZ *APP NZXAFP fjZ*APP nZ APH NZ*APP i'ZxAPH NZ * 0VN l; * 1 *HTP 1 * 1 * SKI Ci * A

1 * ■J * COMMENTS (CIC) ANSUL 5GALS/ii 2 LiL bS/F //1 6 5 6 5 0 /

I AG/|f16/21/F0P#1 798-92/HSS OP "dAri- izTm;:n 5 PH/ T EL /?21 2- 222-1 U1 5/ nzozm n' I I I I I'TTT^rTTTTTTrTTJ'TI'TTTTT I m. rT'T~l ITEMS TO BE ADDED OR DELECTED (CIC) ITEM CODE ITEM SUB-CODE NEW QTY. T “ “ DESCRIPTION FLOOR NO. 1 '3^ I 7^ 77] A L//) 7 At 3 4 5 6

STATUS CHECKUP COMPLETE' ?SaPPROVED for PERMIT n VOID WITH REA-SON □ MINOR VIOLATIONS REPORTED ENTER CODE P | "J

LI NOT APPROVED WITH REASON NEXr INSPECTION SCHEDULED DATE ENTER CODE C TZI" HT

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