IR - 50293N�` ._ 1 �,� �
Butlding Job Report
ADDRESS � S' �`,� �� �-�
O W N ER /�b2-? ✓j t,e r�dl' e u- /`Z
BUILDER
DATE PERMIT NO. ��—� d_j
DESCRIPTION � � 3I�
INSPECTION RECORD
DATE REPORT '
' � ' �' � i�.�..� �
— �� ��7 �:1,6c?�b'-P 6� aoL
I
I
�
OWNER ;�EP � �SPECTOR I