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IR - 65173
N�< 189;6 ' Butlding Job Report ADDRESS ��� ��Y�� � OWNER ,�c,i'lc�.L� .1 �i�..-� I BUILDER G'7`��e DATE PERMIT NO. a�, �3 � DESCRIPTION ��z 9 jocc- a( li o � r� INSPECTION RECORD DATE REPORT �� �� �,6 � � i OWNER - REP INSPECTOR