NYC 9/11 Public Portal Document
A-324 (7/841
FIR PARTMENT, CITY OF NEW YORK • BUREA^F FIRE PREVENTION
INSPECTION REFWRT
ACCOUNT ADM CO START DATE DO TYPE
iF>iii \ lAiylyiyizi [ZEZEZn m
OWNER NAME
3 Lzn
PREMISE ADDRESS
J]
FFffl 3 □J—L
ADD INFO
STREET NUMBER PREFIX -
SUFFIX -
STREET NAME
ZIP CODE
□ZLiZE BORO CODE
TYPE -
BILLING ADDRESS
II Illi
ADD INFO
STREET NUMBER
TYPE -
PREFIX -*
SUFFIX -
STREET NAME
ZIP CODE
ffl I I I I I
BORO CODE - B
ENTER HERE IF OUT OF TOWN
STATE-
I I I I I I I I I I I 1
INSPECTOR NAME EXAMINER NAME DATE
iiTWiirn
ITEM CODE ITEM SUB-CODE | QTY | DESCRIPTION FLOOR NO
t
1
2
3
4
5
6
7
8
9
10
11
12
COMMENTS
n
STATUS - CHECK AND COMPLETE
INSPECTION DATE INSPECTOR - I.D
Q VIOLATIONS REPORTED
□ NOT APPROVED WITH REASON
ENTER CODE [ | | [ |
NEXT INSPECTION SCHEDULED:
DATE
AKA ADDRESS
STREET NUMBER PREFIX
STREET NAME I I I I I I TTT rTTj TjZZLI J SUFFIX r-n-T
I I I
ENTRY
r.i AUDITOR. DATE.
NYC-WTC_000168788
OCR can misread numbers and units. Confirm readings against the page image before using them.