IR - 63052�° �.����
� �
Buildin� Job Report -�___----
ADURESS � � / f 1�� � �
OWNER
9A -.
`w i i i �.�„�n,,,.c o —.-- �`�" �°6 � � "�1-
DATE PERMIT NO. �°�� f g�
DESCRIPTION � �Z;�/� I
INSPECTION RECORD
DATE REPORT
i r
_ �— �� ��.us1-C.
�/.1;i'� �S�
OWNER �P. _ �� EP CTOR