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IR - 61074
N� (1 � 2 � �� 4 ���`i � Bullding Job Report ADDRESS � / �' (� �J�� v,.�i !%r �c-4B %c OWNER BUILDER l��r/�Fo � � � . ' DATE PERMIT NO. �� � 3 J� DESCRIPTION ���} � : S INSPECTION RECORD DATE REPORT '� --� — �� %% -� �r L� �/''l�s�%� /� ,�c.• c^�, �� �-� � ` --... I � � i I I � i OWNER - REP �, INSPECTOR I �