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IR - 61622�� 10�4 ,` ' Buiiding Job Repo�t ADURESS � / 7 � �'�La L � � OWNER . q � � J'L/ � DATE PERMIT NO. %rl/%�% �iSL ,� DESCRIPTION ��� ,�ar�� I, INSPECTION RECORD DATE REPORT /�2 � y %� ��, �,� C, ��� ���-i'r OWNEf��EP. �'�SPECTOR