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IR - 39861N4 119-;�0, Building Job Report ADDRESS I'7Op LClf'.�Ss � �ll (� �p� � OWNER BUILDER � /j�,C„ DATE g'�O'-��f� PERMIT NO. �,3(j DESCRIPTION ,(�,�1� .(/ . — INSPECTION RECORD � DATE REPORT Qa � `��h/l�C.. 1�i1//.� _ _1[.s� � .�//.A ,i�+L..- /_�I� .. �' l ' - ��' � `' � i � OWNER - REP INSPECTOR � ��