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IR - 26768
� N� � � 1213 ,) . . .. -.. � • � • . • ,r�I�:l:., � - IOWNER r,��� �S BUILDER DATE PERMIT NO. ,� (,�� DESCRIPTI N l ..n � - ��� �- _ INSPECTION RECORD DATE REPORT ��.' � = fti/YL r' � � �3y OWNER - REP INSPECTOR ��� �y �