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IR - 62168N 11�31 Building Job Report ADURESS � �J ��` /---�"i6/'-�� �-�i. OWNER �� �� L�Z ! l�/ BUILDER DATE PERMIT NO. � / G� �%� s DESCRIPTION ���'j��� INSPECTION RECORD DATE REPORT ��� !% �� �- �2� ,�� , L� �2� ��--�' Cd�« �� �-=�7 S� ��-Y.--- OWNEFi - REP. INSPECTOR �