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IR - 61875
1 N'st, 1. � lJ H.JJ � J�:r Building Job Report � ADURESS �(� � � (c� A- l'�nw�l.d.� OWNER �G vi01�'� y-�4r✓ BUILDER /�,� ` �/ � DATE PEiiMIT NO. ��� �SQ %� DESCRIPTIpN ��� 3� INSPECTION RECORD DATE REPORT ��...( ly-!.�. � l� //�"�.���P e.e ��e ic.N�axr OWNER �EP IN PECTOR �—� r ��