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IR - 65633
r�� oa14 Building Job Report i ADURESS ��D C� �/I � �il�.�l:I�� BUILDER S DATE �� �/iy_ � PERMIT NO. OESCRIPTION �}iy , /�� n „ INSPECTION RECORD DATE REPORT °�d'�� ! � OWNER /'��P _ Ip�ECTOR