BP-02-626 MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
305-795-2204
Building Inspection Request
Date_ -3 Time
Type Insp'n tf,
Permit No. B p& Z- 4
Name ✓'
q
Address
Company 6,6A9 /, �
Phone# /�. "
a
For Inspector: f - / a � Name&Date
Approved
Correction ❑
Re-Insp'n Fee ❑