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IR - 61953-°' �'� 1 , NA �1�0�:� Building Job Report ADURESS � � 3 / ��ea� , O W N E R y�,, �� ��1�..�, � BUILDER � � OATE PERMIT NO. e�� �% / � �°� DESCRIPTION �� � �� INSPECTION RECORO DATE REPORT � /� � " �/� � � ��� �%� r .�� . .�--� -� � -��, OWNEF�EP I PECTOR � �