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IR - 65041
NQ �1 1 8 �;: 9? Building Job Report ADDRESS �/D �?� �/� �j� i4 � �� (,� OWNER �-._ f f�� � � DATE PERMIT NO. �6�-p o?'� . DESCRIPTION '� �-t�2, INSPECTION RECORD DATE REPORT . � G — i'� �"���- c. �s,� � OWNER -�P J.OI,�PECTOR