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IR - 61174
N� 1131G4 , Building Job Report ADDRESS (�p fL ! f �.��� ,� � OWNER �HttB€fl`. (�� � /� oZ ° � ° DATE '•,_ PERMIT NO. /� y- ,S-e�a-,j��( � ,� - � DESCRIPTION `•� � "��3�j , I INSPECTION RECORD DATE REPORT � �� ` � ; �� �� �- C �, OWNER - REP �SPECTOR 0