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IR - 28760
� _ , _ N°-�'��10 7 7 5 Buiiding Job Report ___ _ ADURESS O I �_ X�� � /( /IL�� � Z`� �C _ OWNER BUILOEF OATE ��//r, �GJ� PERMIT NO. � `, `�� DESCRIPTION" / �/)/ � ,� i- ,_ INSPECTION RECORD DATE REPORT OWNER P I PECTOR