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IR - 28736
� N_��1107� Buildi�g Job Report ADURESS �yJ � (,-C,J� ��I.�t_d.� _—� C OWNER ,� � ��f BUILDER DAT�I�e/ PERMIT NO f�_��'�� / - DESCRIPTION ��� � �� � ,� �h � � � INSPECTION RECORD ^ � DATE // �G� REPORT � //� � �/ i4- f � ��� • _ • ' ��