IR - 28683,:�
NO('�105_21
Building Job Report
ADURESS /��� /.�/ �✓T�'� /`/.�i
OWNER j�
�'
BUILDER
�
DATE PERMIT NO. �r5d
DESCRIPTION S" � - � ` f "'" . _��'� 1
INSPECTION RECORD
DATE REPORT
�'
G
Y �,
(�%i°�S /�r S 1�� J��t.
OWNEFi - EP i PECTOR
� � � ��