IR - 50900_
NQ 1 � CJ � E. �I�
Building Job Report
ADDRESS �3/b `7 ST'
OWNER �Lc.�.� �,�..,.� / r�-
BUILDER
DATE PERMIT NO. �� `�'- 3s%
DESCRIPTION 2 y F��
INSPECTION RECORD
DATE REPORT
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OWNER - REP INSPECTOR
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