1036 NE 96 St (4)MIAMI SHORES VILLAGE
BUILDING DEPARTMENT-
305-795-2204 �� / )
Building Inspection Request
Date / �u O Time
Type Insp'n —
Permit No. L L Z-O O - 1
Name d KD.QAft
Address 0 6 'Y \ n ( . 9
Company
Phone # — 3 OS- aS 7 —7 N D
For Inspector: 1 ° i ( Ala &Date
Approved LAX
Correction
Re- Insp'n Fee
❑
tiz/ 4 17
�1 /'i )z 9 j G ' %