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IR - 64854
/i � N4 �_1179��3 =--- Building Job Report � ADDRESS � �� � � /0� C��- �.v sz OWNER � ��,���e � BUILDER DATE PERMIT NO. �����— DESCRIPTION ��--� ��Y � d a c INSPECTION RECORD DATE REPORT . �,-��Z l� �-��� � ��` `� � �' Y `� OWNER - REP _ If�J3PECTOR ,�� ,��_�