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IR - 65320
� �"� c1� 1 2 5��� Building Job Report ADDRESS �O'7� �� �' i !�j��f �� OWNER ��.7(r ������i��'�%L��fl�i DATE �� (, ��c� V PERMIT NO. ( �� DES TIR IPC ON �p �/�i �oh )�' �n ,� 0 10� INSPECTION RECORD DATE REPORT � OWNER - REP INSPECTOR