MC-02-9MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date �y Time /l�f
Type Insp'n J P1 a - ` e )
Permit No.
Name /!/� U � 1‘1.g
Address 1, / 0 . Ai
Company
Phone #
For Inspector:
Approved
Correction
Re- Insp'n Fee ❑
Name & Date
pc.
1%4100 2 J
-F)1 3 ots