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IR - 28201N° /11021 Building Job Report ADURESS (jl � � � 1 \ � J £ ,�U ( Q c,J '�"F,f/l} C4 � OWNER BUILDER 1 , 3� DATE ��� �-y3 PERMIT NO. DESCRIPTION �J�Js� � 0.�� OK1 � WS'P�C-�� INSPECTION RECORD DATE REPORT i�� �-��� �� b � I 0 T� 6 T `L����S � ��n�is� 1�•� �'_ �T � �Ci� �S�_ OWNER - REP INSPECTOR % I � �