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IR - 61023
N� 1 12 9 � ) Building Job Report ------� ADDRESS °'�_3�/ ���-�--�L OWNER BUILDER �r� �a/�,�,�-�'h: ��� DATE PERMIT NO. �� � �� � � DESCRIPTION ,�,�- �oZ�' INSPECTION RECORD DATE REPORT /G � � Y.�y / .�1 � - .O� /�i/ _-A � . i � �O ! OWNER - REP INSPECTOR �