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IR - 64872
N� �.� 1 1 7 9 � 3, � . _ _ ___= Building Job Report � ADDRESS (� ?� O �/� /,CS �v._ OWNER RI � �ro '� Gc � T �°��._ DATE PERMIT NO. CJ�J^-�,5 DESCRIPTION a 3 S�S INSPECTION RECORD DATE REPORT . /�i .f . /� S' ,� • � I � OWNER - REP ' INSPECTOR = I 1 �-�- �