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IR - 65816
� N 1033� �. Building Job Report ' �Q✓_�-, ,p _ , -�-. ADURESS (��, °� `"�l�—� rt P.Y� t"�'.�-�ft�l' ; �.�. �?'P�' OWNER BUILDER � n ,� ---� DATE ��--���i��� �- PERMIT NO. � � DESCRIPTION ,_ � ^�'-_: "` a y 'sy` � - I SPECTION RECORD DATE REPORT � II OWNER�EP �PECTOR � �