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IR - 65142
Ns 1 89� 5�� �� Butlding Job Report ADDRESS �� �� c.� �a � a� OWNER BUILDER ��'t .��� d� DATE PERMIT NO. ,2 j( --3 csa DESCRIPTION ;� ({j c� C1-eJ INSPECTION RECORD DATE REPORT %-zs i�s � �,v.�G. ,�--��f G �2 i�.�a�� �- �_.... � � � � c�� � OWNER - REP INSPECTOR