50134MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date 2 19.0 2 Time
Type Insp'n
Permit No. 0 / i f
Name �';:.
Addres
Company
Phone #
.r ?).1 f cj'A
For Inspector: A -.20 -a2 Name & Date
Approved
Correction
Re- Insp'n Fee