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IR - 29214° �0765 Buiiding Job ADURESS o���� ����SI % 7�1L)/'Z� ,� /Z� OWNER � ���y'� � BUILDER DATE �1,s/� 3 PERMIT NO. DESCRIPTION�,� � � � � ]j-� �.�,� c..e��' INSPECTION RECORD DATE REPOHT OWNER �P ECTOR I