NYC-WTC_000166105

NYC 9/11 Public Portal Document

FIRE DEPARTMENT, ^'7Y OF NEW YORK — BUREAU OF FIRE PP'VEN'TION INSPECT ION JADER

DATE ACCOUNT TYPE ALPHA PREFIX D.O. AOM CO WO FEE ACT SF.F. A I u f cuH ( f'E :'i7 SIf".Iu_

PLEASE INDICATE ANY OF G I HANGr=S cHANO~:S I/ I CHANGE. CHANOE2 I = ` THESE COLUMN CHANGES - ~ __ AT RIGHT=--~ I L~_ Li

CHECK HERE FOR ANY CHANGES INSPECTION TYPE. 1 • SCHEDUL ED IN THIS ACCT AND INDICATE ON 2 - R€: PM) REQUESTED REVERSE SIDE 3 . COMPLAINT PREMISE ADDRESS - AIiA ADUM'ESS -

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BILLING ADDRESS OWNIA NAME r J

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COMMENTS

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❑ PROVED FOR PERMIT ❑ VOID WITH REASON J. MINOR VIOLATIONS REPORTED ENTER CODE L FI E1 ❑ NOT APPROVED WITH REASON _ ,. NEXT INSPECTION SCHEDULED DATE ENTER CODE I

NYC-WTC 000166218