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IR - 65746��, �o ;10g064 � Building Job Report e ADURESS OWNER BUILDER DATE � / �-/ / G)i%/ PERMIT NO. INSPECTION RECORD DATE REPORT �f'i4� � J�.� I (aq� ��ce� �gs �rr6 � %2n1e.u�. � �i � al � '�`E' S'f' - , ��i �,s� �fs�. � e.tC� W o<�� � � �hrpl�f � � Se� - -- — OWNER �P IpL°�QECTOR