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IR - 39138N '1187� Building Job Report ADDRESS ���Q 12QJY✓ T � OWNER BUILDER DATE 2/ JIIJ�^�/ PERMIT Nn I�Gd � ' � � � �1 INSPECTION RECORD DATE REPORT I I � i' %1 � � � � � � � OWNER - REP INSPECTOR • y-3G-!� 1�