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IR - 65116
� � . ._ _-�j NQ `�1 1 8 9 �`I � �,._4,_e��_____._-� Building Job Report ADDRESS ,S�i� �-�✓1(.� COt� � ' OWNER �� G� l� c�/— � A r�5 BUILDER DATE PERMIT NO. o�j�/ — ��`S DESCRIPTION INSPECTION RECORD DATE REPORT � �� �� /�— s d �c Le � ��!'� OWNER - REP ! ^ INSPECTOR