1099 NE 99 St (7)MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
B ilding Inspection Reques
Date % Time
Type Insp'n s( c b
Permit No. 6p Zo63 - 71 l
Name ' I x l� .
Address ( V / ST
Company R f
Phone # j — 92 O•I 3
For Inspector: Y3n '7/Z3 Name & Date
Approved
Correction
Re- Insp'n Fee
1,‘