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IR - 64540
.� '�. Ng� 116?�1�. Building Job Report ADDRESS �� � � � �' �— OWNER e/ �y L1—,� jl�'/4'� 5�?"r BUILDER DATE PERMIT NO. � ����� DESCRI PTION � � � , ��.u�> ��'�-�-�.-�C_ INSPECTION RECORD DATE REPORT -2Z-1 OWNER — REP �ISPECTOR