IR - 27182�
N4��1 1 2E6 i
Building Job Report
ADDRESS S.� � � ��,�,,�/�„� C�
O W N E R � Lt�,.y.,., G',t�".G, �Gc.t,�,ti.. �Gl�t.�i
BUILDER
DATE 1 "a�-�s PERMIT NO.
DESCRIPTION �/ �/�J�,,,
INSPECTION RECORD
DATE �-a� �� REPORT •
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' OWNER - REP , INSPECTOR