EL-05-205Z'G5 k
MIAMI SHORES VILLAGE ib.
BUILDING DEPARTMENT
305 - 795 -2204
B7 vol ing Inspection Request
Date /, 1% {�,
Type Insp'n V C £ 3-k.
Permit No. y- -�Q5 2O5 q
Name t�„�1 i (le r " 1 , n
Address 11301 NW..V
Compan
Phone #
Insection Date -=y
Approved 19' `%
Correction
Re- Insp'n Fee ❑
0/z 9'
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