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;! CCiJS,IlTr:jJtE <br />SPECIAL INEPECIION REPORT/INVOICE <br />21909 Erie tane, take Forest, Ca 92630 <br />(%9) 2Ss{552 <br />CITY OF I atr | * <br />PERMIT # <br />t n I 10 hL. 1 <br />\..t <br />PITOJECT ADDRES5 tSqo F, Fl5 <br />BLt.nhI <br />,.tl <br />e ls <br />Ft*t h'c - <br />SP liqsP N A** <br />IN-- OI-T- P MGR SIGNA <br />TOTAL HOURS IMYOICE # <br />ICC# 6 (o tt a4 <br />DATE t o, L cltl <br />INVOICE A.&IOUNT 5 <br />'aD' <br />TYPE Or SP INSPECTION_Ta| j. 5r*6 <br />DESCRINION <br />Auu rtpc**. f. c.a fl y/ r-[rP.. ye.z. fq-.,-r. i ocT+r,_ . <br />id I i <-,-.\,t r+ Fr,-."o url f-d L'la.--i G:3r\ 6 na_e I n r .r.