NYC 9/11 Public Portal Document
A-324 17/841 03-1
ARTMENT, CITY OF NEW YORK • BUREA|^ FIRE PREVENTION
FIR
INSPECTION REPOTT
ACCOUNT T ADM CO START DATE DO. I TYPE
i
Illi czc3/czE3/m m m
I I I I I 7 I I I I I I I I I I I I I I I I I I I
PREMISE ADDRESS
INFO
TJZ U_L1
:ET number PREFIX -»
SUFFIX -*
STREET NAME
ZIP CODE
LZEIJ—L BORO CODE
TYPE -
BILLING ADDRESS
Illi
INFO
:ET NUMBER PREFIX - STREET NAME
ZIP CODE
Illi I i ~rT~ BORO CODE -
TYPE - SUFFIX -
ENTER HERE IF OUT OF TOWN
STATE- z"* CODE Illi rini 1 I
INSPECTOR NAME EXAMINER NAME DATE
ITEM CODE I ITEM SUB-CODE | QTY DESCRIPTION FLOOR NO
2 2
3
4
5
1
7
8
9
11
I2
COMMENTS
□
STATUS - CHECK AND COMPLETE
INSPECTION DATE INSPECTOR - I.D
□ VIOLATIONS REPORTED I I I I I I I I I I
□ NOT APPROVED WITH REASON
ENTER CODE [ | | [ |
NEXT INSPECTION SCHEDULED:
DATE
AKA ADDRESS
EET NUMBER PREFIX -1 I I
EET NAME I I I I I I I I I I III TYPE - I I I I 1 SUFFIX - □ZO
?Y
3K DATE. AUDITOR DATE.
NYC-WTC_000168846
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