22 PIEDMONT STREET - CERTIFICATE OF FITNESS Inspection of Date Time
Name \ } Address
Owner_ Tel. No.
Type of Inspection SY � ��� -P InspectorIj
1,
( " ) Remarks and Violations are listed below:
h-Ify- efhmt w2L-fjare nctv;�, Iina"k, in
�'oAW Lo in glu m&lb�
LL ,
biSeMcn4- -, - OrN'- bra
t-t —Uj7S' art hUWA MCUPo)
'00Q�) , &W-AJMt OrWker �UR Nw-t (A.-
&Cur P011", CH M A�K6
2L-1r6N)LJfT,n (1901110 ;�-A C.7-r
Report Received by: