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R - 27056N4��12�F. Building Job Report `�-- ' ADDRESS '���I 1 � ` fS % ,/ %� Q° -�� �� OWNER BUIIDER DATE �����Gj',,,�' PERMIT NO. %�: DESCRI INSPECTION RECORD DATE REPORT • ' b e /�(!/.11 _ %�%!GC /� i �� [��/-l.t` � !'D?� � ��s7���i,w OWNER - REP IHSPECTOR