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IR - 61010
N��c1 12 � 1 Butlding Job Report ADDRESS �j ,3 �`( ,-Z ����,_c� OWNER BUILDER �—�� � DATE PERMIT NO. `�� 7 S 3 DESCRIPTION ,.Z 3O% J O�S. /�� INSPECTION RECORD DATE REPORT �' �� }—%--��� � OWNER - REP � INSPECTOR �