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IR - 61716
--� �A �.����� 1 Building Job Report _ - ,__..__ __-.' ADURESS r�� '}" ✓ -L���rS�'Y° C-.-' ��7" OWNER _�°�_ � /r< G �- . � °-1 ��� �ATE PERMIT NO. ��Lj �r��J OESCRIPTION 2 ( ej'G � INSPECTION RECORD DATE REPORT � 1 � �� � �'�sr'!1 C a�� ,�; f � �S OWNER - P I ECTOF � , - -�C<-�- �_