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Building Job Report
ADDRESS � 7 �"j I�di�d,G�'�
OWNER I
BUILDER
DATE ZL--O/� ���l� PERMIT NO.
DESCRIPTION � i.�., .�,
�/ INSPECTION RECORD I
DATE L �—� S; ��I REPORT
l,/ I �L K !J//I�%�
OWNER - REP INSPECTOR
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