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IR - 65334
� N�' 1 15 5 2�� �, � Building Job Report ----- ADDRESS ��� �` ,Q .�_� Gi1 /9`� l� 1 �' lZ.(D�( I(� OWNER ,� BUILDER ��,�7( . ,{� {��(��(� .l'Yl ( 1i ; DATE � �° PERMIT NO. 1�,�O DESCRIPTION � � �� � ` � -�, _ INSPECTION RECORD ' DATE REPORT OWNER - REP ��' � _ INSPECTOR