285 NE 100 St (10)p
Type Insp'n
Permit No.
MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date / US - } =-''
Company
Phone #
Inspection Date
Approved
Correction
Re -Insp' n Fee
r J
0 4 - 9 8
Name ' /50
s
Address 0 ./ joy
0 07D yl
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