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IR - 64174
i �4�� 1 15 0 4 4 �. Buildtng Job Report ADDRESS 7 5 3� �-�..z� Q� `�`.�e�c — OWNER /-'� s �g n BUILDER ,s,[�.,�.��c�, DATE PERMIT NO. Z(� �p�� DESCRIPTION �� � � i�'' I2, � INSPECTION RECORD DATE REPORT /D -� 'f l�.T� �« � �- � �,��.- �'�,� � '" � � �-C- -� OWNER - REP �SPECTOR