IR - 59892�° �213�
Building Job Report '
ADURESS �� �Ci % `�--�-' 3%
I
OWNER '
� f O y •���✓ � Q-9 �� _ ��I�I
�e P a
DATE PERMIT NO. �` Z��,�3 — II
DESCRIPTION / ��'��
!
INSPECTION RECORD
DATE REPORT
�` � � � ' f
� ������
�i/- T �.�' ��
OWNER rr^FP. ��PECTOFi