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IR - 63811
N R� 0 � 1 Buiiding Job Repor``t ` ADURESS ��� ° � ` `E ��' v OWNER BUILDER �i�td�ir �$ �y DATE PERMIT NO. j� Od��3 , OESCRIPTION �j� 7 �� INSPECTION RECORD DATE REPORT /�- �°�� ��=�G � s S; �� .�`s OWNER - �, IN�CTOR � e