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IR - 64937
N� °,a1179�r9 Building Job Report '^�--� ADDRESS ��p 3 % � �' �� OWNER � -- �o � e �'7 c� DATE PERMIT NO. � � �f `�'���' DESCRIPTION �� �a ?pZ INSPECTION RECORD DATE REPORT �'r� %��� �<� � t, /`6 c5 % �'s-�t v i esz. OWNER - REP INSPECTOR