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IR - 64175
N4�15045 l Building Job Report ADDRESS �S/C> lfJa ti� � °� ���"tl OWNER B�6B�fl— � ^� '� ' � - DATE PERMIT NO. �j7 %- �a-� DESCRIPTION �-3 �7 � � INSPECTION RECORD DATE REPORT � �tj_2o�� /._��s�(� a(!. S /-� s S OWNER - REP I�ISPECTOR