NYC-WTC_000166105

NYC 9/11 Public Portal Document

FIRE DEPARTMENT C TY OF NEW YORK — BUREAU OF FIRE PPS''-NTION

INSPECTION uR®ER DATE ACCOUNT TYPE ALPHA PRERX O.O. ADM CO NO FEE ACT SEE ATT.LIST CURRENT PERMIT EXPIRES

PLEASE INDICATE ANY OF CHANGES 4 [TItCHANGES CHANGES CHANGES THESE COLUMN CHANGES AT RIGHT ii] _ O CHECK HERE FOR ANY CIO O CIC O INSPECTION TYPE 1 t - SCHEDULED '^ y

2 - E-INSPECTED CHANGES AND INDICATE - REQUESTED BELOW OR ON REVERSE CIMA O CIN O 4 - OO IT PREMISES ADDRESS AKA ADDRESS

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BLLIUNG ADDR ESS ACCOUNT NAME

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COMMENTS (CIC)

1 --- TAI f I I J -^1 1 ._f ITEMS TO BE ADCED OR DELECTED (CIC) ITEM CODE ITEM SUB-CODE 4TY. DESCRIPTION -,- FLOOR NO. _ __t 2 3 ! ! : t __ 4 - 5 6 H H _

APPROVED FOR PERMIT OVOID WITH REASON MINOR VIOLATIONS REPORTED ENTER CODE I i i

O NOT APPROVED WITH REASON NEXT INSPECTION SCHEDULED DATE ENTER CODE

NYC-WTC 000166158