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IR - 64120
N 1 1 3 '� �_ , Building Job Repo�`- - ADDRESS �jn � �' �J�(/3 ���r OWNER UI/L'1lS1C ��U;-zffLE BUILDER DATE zJ� /i^ 9'S PERMIT NO. DESCRIPTION INSPECTION RECORD DATE REPORT ��,�r��'i /� t`!� /�Or%l� A��vpr� ��1� ,� �D(- GJS7 S� h'�'S �o�r7 /.I �- n �, d �n � s1 .i _ ..� -f— � �//� VK'��/' 7 � if�-/ �NVI'� -.�- /'e�n/n9c�T 17 P S � G^ OWNEA