921 NE 99 St (14)a NU 1 4 NM
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date ? ( J 14- Pei
Type Insp'n � t 6 - 1 -L S
Permit No. ia.p cL.5 -134
Correction
Re- Insp'n Fee
Name
rzi , y (2-
Address c lZ - 99 ST
Company P HC >A N -ot�1 2 ► E.
Phone # (,SC-€) 3 10 - -1 c=1
,
Inspection Date 1 ` J L4 l c
Approved ❑
x