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FDNY Inspection Order form, July 1994

Machine-extracted title · confidence 95%

Inspection order form dated July 1994 for scheduling a fire safety inspection.

NYC-WTC_000166084–000166086
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Scanned page image, NYC-WTC_000166085
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NYC 9/11 Public Portal Document

INDICATE CHANGES BELOW » PLEASE PRINT ALL INFORMATION PREMISES ADDRESS

I .1 1 I. I -LI 1-1.1 I I I I I .1 1. I ...I I I.IJJ.. Lil l..,l J D STREET NUMBER I 1 1 I 1 I I I PREFIX I 1 I

STREET NAME | | | | | | | | | 1 | | | | | | | | | Tl

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

AKA ADDRESS

STREET NUMBER j | | | | ( | | PREFIX I [ I

STREET NAME | | | | | | 1 | | 1 | | | | | | | | | H

TYPE I I I I I SUFFIX I I I

ACCOUNT NAME (CIN) - OWNER NAME (CIO)

I I I I I I I I I I I I I I I I I I IN X - IF CHANGE IN NAME ONLY □ X-1F CHANGE IN OWNER □ DATE OF OWNER CHANGE rrixmxrn MAILING ADDRESS (CIMA)

!SSo I I I I I I I I I I I I I I I I I I I I I I I ,1 I I I I I I I I STREET NUMBER | | | | | | 1 | PREFIX I I I

street NAME I I I I i I I I I I I 1 I I I I I I III TYPE U U I SUFFIX I ( I I I I I I I 1 I I I BORO I I

ENTER HERE FOR OUT OF TOWN ADDRESS (CIMA)

I H I I I r I I I I I I I I I I I I I CITY I I I I I I I I I i li n H rzo ZIP I I I I I I m REMARKS

date I INSPECTOR I.D. f , COMMENTS INSPECTOR 1/1^- EXAMINER date rTVTrv4j ENTRY CLERK AUDITOR w date

rrwryryj' SECOND INSPECTION COMMENTS DATE INSPECTOR I.D. INSPECTOR EXAMINER DATE nm ENTRY CLERK DATE

AUDITOR DATE NYC-WTC_000166085

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NYC-WTC_000166085Source: NYC Law Department, mirrored locally

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