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IR - 40926N4 r--� 20�!; i Buiiding Job Report ADDRESS � jJ „_ �,/` �� �.S(� ,� OWNER BUILDER DATE - / - � PERMIT NO. DESCRIPTION �/� n �� �, 7 � �_ � 1 i INSPECTION RECORD DATE REPORT % � � � � � i 1 I 1 IOWNER ;�EP ,,,�VSPECTOR I �.