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IR - 27221N4 1`�12 r� � 5� �______ _�__-_ Building Job Report AD D R ESS S' S o� �� ��l;�,rU1't�.G I.t�f. OWNER �� G(�wv BUILDER DATE �-3� �S� PERMIT NO. DESCRIPTION �. INSPECTION RECORD DATE a --3 --g S REPORT INSPECTOR