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IR - 64355
Ng 1 1 5f �8 Building Job Report ADDRESS j ,S `� � ,� /�� �,;�.c, OWNER /�G� - C�s� �� Gi �.`S �� ff: DATE PERMIT NO. (, (�o l �f� � DESCRIPTION � S—Q-7 I � INSPECTION RECORD DATE REPORT �—a °7 C �� -�- �L ; � � � i OWNER - REP _ ,J�SPECTOR i