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IR - 30264
,� N°° II 3 6 Building Job Report ADDRESS /" � .�1I ° � %Z � � �rL LC_ OWNER � �`K,' /zP��S � �/ BUILDER DATE, PERMIT NO. � , �)�� DESCRIPTIO . y ��_ / � 1 � I � �n ," ✓ �l, +�' INSPECTION RECORD I DATE REPORT L/n`, ,. �A . OWNER/"'�EP �PEC^ TOR � r> �