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IR - 65007
� NQ `�180�i9� _' Building Job Report ADDRESS S f'�% �- ��t u�� ���+ /�G OWNER $�HtBEF�-- /� � ['_/�-�T DATE PERMIT NO. �(S - S� S DESCRIPTION � �J �� �( INSPECTION RECORD DATE REPORT ��- �7 �l� �'`,�� G �� s��, SS OWNER - REP � INSPECTOR