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IR - 27052
N�1 1`2�F� Building Job Report ADDRESS � �Q �� � �' I OWNER _ I BUILDER DATE �- I g� � PERMIT NO. lU, U� DESCRIPTION ( , �. �J( � '� Q h� i INSPECTION RECORD DATE REPORT • /�`4 �+ ��/� / -2� �� OWNER - REP I�SPECTOR I