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IR - 29178
�° 1o7s16� Building Job Report � ADURESS ���I OWNER BUILDER DATE '�/ ��/� 5 PERMIT NO. , �� .� DESCRIPTION ,, _ / a _ i�,.s_ _ _ _ , _ A- INSPECTION RECORD OATE REPORT OWNEFi -�"`P I�"�ECTOR �� --- �