NYC 9/11 Public Portal Document
A-324 (7/84i 03-127-0925
Fl EPARTMENT, CITY OF NEW YORK • BUReOpF FIRE PREVENTION
INSPECTION REPORT
ACCOUNT ADM CO START DATE P.O. [ TYPE
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OWNER NAME
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PREMISE ADDRESS
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REET NUMBER
TYPE -
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STREET NAME
ZIP CODE
4; 0
BILLING ADDRESS
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BORO CODE -
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REET NUMBER
TYPE -
PREFIX -
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STREET NAME
ZIP CODE
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BORO CODE -|__ I
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STATE-
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INSPECTOR NAME EXAMINER NAME DATE
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ITEM CODE ITEM SUB-CODE I DESCRIPTION FLOOR NO
1
2
2: 2 o
75
3
4
5
6
7
8
9
10
11
12
COMMENTS
STATUS - CHECK AND COMPLETE
INSPECTION DATE INSPECTOR - I D.
VIOLATIONS REPORTED [II3zqWl?El IO’ld.21 I I I I I I
□ NOT APPROVED WITH REASON
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NEXT INSPECTION SCHEDULED:
DATE
AKA ADDRESS
EET NUMBER
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EET NAME
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