IR - 27989N���097�1.
Building Job Report .-''"�'
ADURESS ����� I( �K. C � Z-
' O W N E R -C� Yi �C�I�
BUILDER
DATE t- PERMIT NO. l. ��
�3 0� �
�
' DESCRIPTION
INSPECTION RECORD
'I DATE REPORT
�� tc �o� S
�ti N� v � t
I'', N ci d-o `� �" �
�olci;,..S �c��Lt 'nv�:.�qar w�'�-- �-i ll�A�ts
, ��i ��ticl.
OWNER - EP INSPECTOR
` �