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IR - 40495
� N�.�,l��G71 Building Job Repo�t _ _._._ -' ADUfiESS OWNER BUI�DER DATE PERMIT NO. / JY�� DESCRIPTION �• Iy3SPECTION RECORD DATE (L�/�"f�/��' �' REPORT OWNEfi ;P ��/f I ECTOR '..�'