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IR - 40039
----,.� N4 �, 1 9 9 L b; Buildin Job Re rt � �� _ 9 Po ADDRESS �s , I OWNER BUILDER DATE '�-l�, 9� PERMIT NO. ��.OD DESCRIPTION � � ,nn D - INSPECTION RECORD DATE REPORT � - �- - �%�- , , � � � � � � OWNER - REP INSPECTOR