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IR - 62639
�b �.C����� BuiOding Job Report ADURESS /3 �' 3 [p � �- �.e� OWNER �l,e(' -e !6 e� BUILDER DATE PERMIT NO. �—��� (j� DESCRIPTION �.QC�,6� INSPECTION RECORD DATE REPORT /� � % P� C�%,.. �� C"s► � .� - OWNER �EP. �1 � IP��ECTOR .,f