IR - 39681N4
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Building Job Report
ADDRESS I%S,S g � �°����
O W N E R��.-6'J� /'lV��(_.1 U� "' i.L li.%� �!'_
BUILDER /'7 i ni --�
DATE � �"�1d'z� PERMIT NO. � �D,`C�d
DESCRIPTION� ,� f �'1/� U -
INSPECTION RECORD
DATE REPORT !
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OWNER �P �SPECTOR I