IR - 30908No 1��g�4.�
Building Job Report --- -- ° ""
ADURESS '�O I I � l9 I [JT'
OWNER ��,t 'iJ 1�4:�� vnG�,C.i�S
BUIIDER ('Z`, t /�?._ I: ri
DATE I\ I 17 IqT . PERMIT NO.
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INSPECTION RECOFiD
DATE REPORT
OWNEF P. ECTOA