IR - 65969�
N° �1f��
Building Job Report
ADDNESS �� � I � `G�9 �'i} �
OWNER �'� �
BUILDER
DATE f�� l L( --'�� PERMIT NO.
DESCRIPTION ��� L'��Lp i f ryt ✓`� � S�
INSPECTION RECORD
DATE HEPORT
C> W N^z�' � 1�2� �'i�cl i�r�ss�r'�'
i^� �j �, ��iO
��
OWNER - EP I PECTO'R
�� ��� t