IR - 29542�
N°- �0316
Building Job Report
ADURESS �j�j�I '� . fl "l A-YA� ff�C1L � ASS
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O W N E R IRi/!95/�i�L (,i�fC `� �r1. p�'V 'o�/R�S —
BUILDER
DATE �—/� �--- � j PERMIT NO.
DESCRIPTION /�� �,� ,e�� ��� �' f�j�
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INSPECTION RECORD
DATE C�' r �� REPORT
OWNEFi �P I�eECTOR