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IR - 50377—� NQ 194�7 �I, Building Job Report ADDRESS ��r (sz.�� �� OWNER � ��,� �o4s���y BUILDER DATE PERMIT NO. �� �' ,�-Sf DESCRIPTION ,.2 iL � 77 fJL �a � � %A- /�^-% ��!' .._. l INSPECTION RECORD DATE REPORT /v—s�`'9� � [.�s c /�-� �- s /�ru'� �.�J,2� Rc' �e 0 OWNER - REP �., INSPECTOR