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MS-2012-00116 CITY OF BLAIR 218 S. 16TH STREET BLAIR, NEBRASKA 68008 Building Permit Report PERMIT NUMBER (402) 426-4191 - Phone 4. (402) 426-4195 - FAX MS-2012-00116 www.blairnebraska.org CITY OF BLAIR APPLIED DATEPERMIT TYPETODAYS DATE ISSUED BYWORK CLASS \ Completed:04/12/2012Miscellaneous Building Permit6300.00 Issued:Valuation: 04/10/2012 821 N 14th Ave, Blair, NE 68008 A PROPERTY ADDRESS: DBC SUNNYVIEW ADD LOT 18 115 PC 18 Legal N D GENERAL Description HDG, Inc. A CONTRACTOR: D M3493 Co Rd G Property #890058674 R ETekamah, NE 68061 OWNER:Arlan F And Mary Ann Hansen E + S 821 N 14th Ave 402-374-2138 S BLAIR, NE 68008-0000 Nature of Work:Roofing/Soffit/Eaves/GuttersPermit Fees: 115.00 821N14thAve-120409-Roofing Project Name: Deposit Status: $50 Description: Deposit Refund To: Contractor Tear off one layer, replace with asphalt on principal structure 31003 Deposit Receipt #: Inspection History Inspections SInspTypeRFStatusReqDateInspDateInspIdInspDist 9FINALYPass4/11/20124/12/2012hwolfe