IR - 27398N�113���5
Building Job Report
ADDRESS %� ��t� ��
O W N E R � L � CK�E,�,�U`
BUILDER `�
DATE � L 4 ' �
5 — J�,) PERMIT NO.
a
DESCRIPTION
_ SY�r',AL'f�" .�7tt�?%
INSPECTION RECORD
DATE REPORT
_S�I�D f/�?6"� �?t� .�'/�J�=C L/irG�C = /.�'
� /S'/�'� L!- �'%i"%l� N✓ ! `� � /�7' r �//7'1/71�37�.yil
OWNER - REP _ J�SPECTOR �