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IR - 65255
N� 1 1 4 u;� 5� Building Job Report ADDRESS ! � S , � .'�4.t�-L.'e �.. �' ): ".(,,�.� L' OWNER , . � �u�., ^ � r BUILDER DATE �' .% ��- �; �_ PERMIT NO. DESCRIPTION � ..' r - t�ti� INSPECTION RECORD DATE �.. � " REPORT OWNER -�tEP \�Y �LJSPECTOR