PL-2002MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date Time
Type Insp'n
Permit No. /i 'i=
Name 1---Cia ! a . CS
-"* Address (®a;
Company
-' Phone #
For Inspector: / n ame & D • to
Approved
Correction .. ❑
Re- Insp'n Fee ❑