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IR - 65804
i�----..,::.- � �I a� Building Job R�port C"� 9 %� ADUHESS /J �-�� (� .����t .D.P� fc� ( .P /`/� �, OWNER � BUILDER �S ' DATE I� ,j PERMIT NO. . �� � DESCRIPTION �, ,,y�, f� ., A��a a) ll � C�� INSPECTION RECORD DATE REPOfiT OWNEA~�EP �PECTOR