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IR - 61579
�149��5 Building Job Report ___ ADDRESS �'s��'6 o�Zc�-r'S�Se��vj OWNER �•— �-z� L. BUILDER DATE PERMIT NO. � �d `S 7,� DESCRIPTION � �, � Q � INSPECTION RECORD DATE REPORT �� � �cf�� %�.� - /��vz-�'a OWNER - REP �'" INSPECTOR �