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IR - 64683
/ N� 117213 Building Job Report ADDRESS (� �5 C� i�YsG'R''� ���� r��o c�' OWNER �1��q�GC ��cS/�,c'sa,.-�- BUILDER DATE PERMIT NO. .�O � DESCRIPTION �'3 � 7 �, INSPECTION RECORD DATE REPORT / � �-- � �; �, i OWNER - REP IIVSPECTOR