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IR - 65139N� 1 1 8 9;. 2� Butlding Job Report ADDRESS � �� � /�Zi cz C� /,�/��/ OWNER �%P�� � �p� � BUILDER DATE PERMIT NO. � �'P —3/� DESCRIPTION ;L �'37,}�— INSPECTION RECORD DATE REPORT _�-23 �� �C��C ���,� . � /�-c OWNER - REP INSPECTOR