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13409 CITY OF BLAIR 218 S. 16TH STREET BLAIR, NEBRASKA 68008 Building Permit Report PERMIT NUMBER (402) 426-4191 - Phone 4. (402) 426-4195 - FAX 13409 www.blairnebraska.org CITY OF BLAIR APPLIED DATEPERMIT TYPETODAYS DATE ISSUED BYWORK CLASS \ Completed:04/19/2010Miscellaneous Building Permit6200.00 Issued:Valuation: 04/05/2010 608 N 16th St, Blair, NE 68008 A PROPERTY ADDRESS: D Section TownshipRange N D GENERAL Lot 15 Block118Matzen Roofing A CONTRACTOR: D M PO Box 561 Subdivision R EBlair, NE 68008 OWNER:Doug Madsen (Holding 50.00 deposit) E + S 608 N 16th St 402 426 8428 S Blair, NE 68008 Nature of Work:Roofing/Soffit/Eaves/GuttersPermit Fees: Project Name: 13409 Deposit Status: Held Description of Work: Deposit Refund To: Shred Held Check per Terry Matzen Tearing off and replacing with asphalt shingles. Replacing gutters on NW corner of house. Holding 50.00 Deposit Receipt #: deposit. Shred check when final Inspection History Inspections SInspTypeRFStatusReqDateInspDateInspIdInspDist 0ROOFPass4/19/2010BLDG-INS 0FINALYPass4/19/2010BLDG-INS