NYC 9/11 Public Portal Document
ADDITIONAL
PREMISES INFO
STREET NUMBER
STREET NAME
YPE
STREET NUMBER
STREET NAME
TYPE
SUFFIX -
r. INDICATE CHANGES BELOW
PLEASE PRINT ALL INFORMATION
PREMISES ADDRESS
PREFIX
ZIP
AKA ADDRESS
PREFIX
BORO|
SUFFIX
ACCOUNT NAME (CIN) - OWNER NAME (CIO)
X - IF CHANGE IN NAME ONLY
X - IF CHANGE IN OWNER
DATE OF OWNER CHANGE
ADDITIONAL
MAILING INFO :
STREET NUMBER
STREET NAME
TYPE
SUFFIX
MAILING ADDRESS (CIMA)
ZIP
PREFIX
ENTER HERE FOR OUT OF TOWN ADDRESS (CIMA)
BORO
CITY.
REMARKS
INSPECTOR .
EXAMINER
ENTRY CLERK -
AUDITOR
INSPECTOR
EXAMINER
ENTRY CLERK.
AUDITOR
NYC-WTC_000166192
STATE
ZIP
д,H
MadtOTE yE
DATE
DATE
DATE
INSPECTOR I.D.
ANR
SECOND INSPECTION
.DATE
DATE
ВАТЕ СРИЕЕИЕЕ С
DATE
DATE
COMMENTS
COMMENTS
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NYC-WTC_000166192Source: NYC Law Department, mirrored locally