IR - 43450��
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OWNER
BUILDER
DATE � �� � � PERMIT NO. �1 / �U
/C
DESCRIPTION � )C' , , D 1] —,.. �
INSPECTION REPORT
DATE REPORT
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If no correc' are listed above, approval is hereby given to proc�You will be in
violation of inance if you do not call for the proper inspection make correc-
tions as cal r.