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IR - 62637�A .1���7 � Building Job Report ADURESS ,��� �R�� ..5� OWNER S BUILOER ��-I�,y��� DATE PERMIT NO. � � a ��� DESCRlPT10N ����7 INSPECTION RECORD DATE REPORT - �� C� /l,� � s� � -- ---- /'� [ N.r� C %��G�� OWNER �P. I�PECTOR