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366 NE 93 STMIAMI SHORES VILLAGE BUILDING DEPARTMENT t`b' 305- 795 -2204 Q'� Building Inspection Request Date / __ Time Type Insp' n � 1 Permit No. /J 0 3 - / Y 3 / Name Address 6 g e q3 sT • Company Phone # "365.— t ' r For Inspector: //'' Name & Date Approved Correction Re- Insp'n Fee ❑