NYC 9/11 Public Portal Document
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Flf^EPARTMENT, CITY OF NEW YORK • BURE||tOF FIRE PREVENTION
INSPECTION REff)RT
ACCOUNT ADM CO START DATE D.O TYPE
I I I I I I I II I I I I I i7Eps3zi2B m m
OWNER NAME
laiMHEiHgiBHBaMisaagaBsaBMasB □
PREMISE ADDRESS
DO INFO Tl I I I I I .1 I I I I I I I I I I I I
TREET NUMBER 1 PREFIX -
SUFFIX -
STREET NAME
ZIP CODE
TYPE -
BILLING ADDRESS
>00 INFO
Illi Illi
ITREET NUMBER I I PREFIX 7 STREET NAME I I I I I
TYPE - SUFFIX - ZIP CODE BORO CODE -
ENTER HERE IF OUT OF TOWN
BH
STATE-
““ •* III I I I I I I I □
ECTOR NAME EXAMINER NAME DATE
ITEM CODE
□□
ITEM SUB-CC DE | QTY DESCRIPTION FLOOR NO
1 ITJIrJ 0 3
2
3
4 /
5
_6
7
_8
9
10
11
12
COMMENTS
□
STATUS - CHECK AND COMPLETE
INSPECTION DATE INSPECTOR - I.D.
I V1* * i vzn • ■
E3 VIOLATIONS REPORTED
□ NOT APPROVED WITH REASON
ENTER CODE
NEXT INSPECTION SCHEDULED:
DATE
AKA ADDRESS
STREET NUMBER
STREET NAME Trrjm I I I I I I I I I I I 11 /» /
II
PRERX .|—1--|
III SUFRX I
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I I
ENTRY
Cl FRK MTE.
NYC-WTC_000168888
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