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IR - 66479
-T NQ 1 1 4�_I 3N Building Job Report ADDRESS - � � � % Y-' � r OWNER BUILDER ����„U�= frTG� `f�" C�lfC7. DATE �'- I��- 9'S PERMIT NO. /�;' 3p �, OESCFiIPTION ��. „_// _. INSPECTION RECORD DATE F;EPORT OWNEF-