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IR - 64223N� 1�15095 Building Job Report ADDRESS � � �'1' 7 ��-�S �-. OWNER ��G�- �cc3,'Se�9�-�% — 57/-�Oj-7% BUILDER DATE -�- PERMIT NO. -� � �� � 73 DESCRIPTION � �� �� GY f _ � ��l�� — INSPECTION RECORD DATE REPORT �� 'y � %�,� I � � �