967 NE 99 St (5)MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date c2 c2, Time
1 fir :AP 4 _�
Type Insp'n s�
Permit No. .32 /
Name Gorf -e Le. iid�de✓`
Addres 94 7 /fig 9T
Company 014
Phone # 7 e(a -' ss0 a 1 3 / e24/sd
For Inspector: 3 1— 8 / Name
Approved
Correction
Re- Insp'n Fee
rzzi( 2e--7