IR - 34100�
N°_ 1;��-'��92
Building Job Report
ADURESS / ��� Le'-yr/
OWNER
BUILDER
DATE 1l ��3 � PERMIT NO. /� � � �
DESCRIPTION �� A, O�., �. Do�,,. O J
INSPECTION RECORD
DATE REPORT
S L.�t S n1 'P�a / �
�`� �D✓��� InnA��N S'�,�� -d�•
OWNEF P I PECTOR