1234 NE 94 St (3)MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date ,3 °d,,� Time
Type Insp'n
Permit No. gi'
Name /44 7 fi / 1�'
Address / '� 3 4 ' 9
Company � 1j=1er ARi
Phone # 3eit O rS 9;7/
For Inspector: , ., 2 _(2 Name
Approved
Correction ❑
Re- Insp'n Fee ❑
7 64-ad., , /7/