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IR - 51135N4 12180 Building Job Report , ADDRESS �% 5 C QaS?'��,s� c-T . OW N ER /�� l�J� (�t K r �iU..: S �- � ��� :� s DATE PERMIT NO. ��d- ��%� DESCRIPTION �'�� �� I INSPECTION RECORD , I DATE REPORT ', � � 7 ��� OWNER - REP INSPECTOR n r��_�--