134 NE 100 St (15)Date _ Ti
Type Ins
Permit No.
Name
Address g l
�.� Company
Phone # 0 tiJ O , r3 ` /
For Inspector:
2,043 Name & Date
Approved o. ) 2#i" :i
1
Correction
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Re- Insp'n Fee ❑
4/17 f i�1�Q, % s
(030
e C tea
Q.\^ AO
'Zo 03 .7 °L°
Date 3
Type Insp'n
Permit No.
MIAMI SHORES VILLAGE
BUILDING DEPART
305- 795 -2204
Building Inspection Req
Time
Name ,
1I
Address I
Company
Phone # 2
For Inspector r \(. 1 Name & Date
Approved ❑ /
Correction L ❑
Re- Insp'n Fee ❑
731-3 I/
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