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IR - 65634/ � N: 10�1 'i Buitding Job Repo�t � �y (� I ADURESS /� C.i .-� t,d)� i�l � O W N E R ��-� �L� 6C�C.� ( S U� I�I BUILDER DATE ��/ �. �G� � PERMIT NO. � � l,� DESCRIPTION� � �� ` � A i? :l �C' .P �"Y l . � (�� .p INSPECTION RECORD DATE REPORT S �.�r/ (L'�C�i 1�,n �_� � � f� � -I�, aJ � �aJl'/Ca(7� tti�i�—°'% i'�� `��`li . b w�' _ � � OWNER �P I��ECTOR � ��