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IR - 63781
�, o�o� Building Job Report ADURESS (o .��1 ,��'-�'// � 'S� � OWNER BUILDER f-�j��r,s �/ � t-Cic _ I DATE PERMIT NO. � 7/�PS � DESCRIPTION � � 7�d I INSPECTION RECORD DATE REPORT --� o� . � � a /� i �S " _ c OWNER �P. ��ECT�R �.- —