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IR - 66290
_ / �`,. N�_12 4 7 ° Buildin Job Re rt _ � 9 P� - --__..__�' ADURESS J��C�� G�t S� ,S, ]GO�t`f L/� iJa2. OWNER BUILDER DATE C�'�7 �, ICd'�-/ PERMIT �O. '� �.C� DESCRI INSPECTION RECOFiD DATE �/�//ni�i/i % REPORT , ��� ������� r ������ � OWNER - REP. INSPECTOR / 1