1235 NE 95 StMIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date Time
Type Insp'n
Permit No.� I C
�+ Name OAA'
Address • � S4
Company ^
Phone # G t c3 CQ
For Inspector:
Approved O-
Correction
Re-Insp'n Fee ❑
I , (u� Name & Date
U '
2 oo3 -�sy