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IR - 63142�- No 1��� Building Job Report ADURESS j`�� ! � �/ � 5 �e OWNER BUILDER ((�/� yG� ,S � .DATE PERMIT NO. L ?j � /Q � DESCRIPTION �/ 3�� � INSPECTION RECORD �ATE REPORT � � � —�� I /= C � Gi � _ � S �� S� OWNER P. I�PECTOR