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IR - 65140
N4 1189F3 Buildin� Job Report ADDRESS J �% 'f� - C �I /zcS OWNER ����} �y� � BUILDER G r� ° •S DATE PERMIT NO. ,�� �_ 3a � DESCRIPTION �2�3�� INSPECTION RECORD DATE REPORT �% Z �% �Z /�'� �. OWNER - REP INSPFCTnR