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IR - 62169� '� Building Job Report ADURESS �7—� � ��11���e �4iz�' � OWNER BUILDER � t �1��' �� DATE PERMIT NO. � �� l�� DESCRIPTION `�� �� ��l t� � i ��� INSPECTION RECORD DATE FIEPORT %i �� � ��iv��i� L- � , � � � L� �, � /�� � �. t%�,� - OWNER - REP. �� INSPECTOR