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IR - 27364
N�1. 1 3 � E 3� _.� Building Job Report ADDRESS �y �7 ��j1/ OWNER ��/� ��fl� BUILDER /�f% j�f� �1a^,C� ,4�Ic DATE y's-- f� PERMIT NO. DESCRIPTION �; INSPECTION RECORD DATE REPORT � �[ i /�l,�'1 ' OWNER - REP I�SPECTOR I