870 NE 97 St (3)MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date 44 y 02 Time
Type Insp'n
Permit No. 2,D z - 7 /
Name 4141,a)
Address . 367 14 9) - 't
Company l lii/442
Phone # .r 66y 3 g 15
For Inspector: 9- 0 2,-0 22 Name & Date
Approved
Correction ❑
Re- Insp'n Fee ❑
1