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RE-2011-00281 CITY OF BLAIR 218 S. 16TH STREET BLAIR, NEBRASKA 68008 Building Permit Report PERMIT NUMBER (402) 426-4191 - Phone 4. (402) 426-4195 - FAX RE-2011-00281 www.blairnebraska.org CITY OF BLAIR APPLIED DATEPERMIT TYPETODAYS DATE ISSUED BYWORK CLASS \ Completed:04/12/2012Building Interior Remodel Permit77400.00 Issued:Valuation: 08/24/2011 2100 S 20th Suite #10 St, Blair, NE 68008 A PROPERTY ADDRESS: D Legal N D GENERAL Description J & K Project Mgmt dba ACT A CONTRACTOR: D Construction M350 McDonnell St Property # R ELewisville, TX 75057 OWNER: Hayden Place Shops LLC E + S 11506 Nicholas St 972 436 1144 S Omaha, NE 68154 Nature of Work:RemodelPermit Fees: 1337.00 2100S20th Suite #10St-110720-Restaurant Project Name: Deposit Status: $500 Remodel Description: Deposit Refund To: Simzim LLC, 16820 Frances St., Ste Remodeling existing restaurant into new #206, Omaha NE 68130-2391 Restaurant-Jimmy John's 29519 Deposit Receipt #: Inspection History Inspections SInspTypeRFStatusReqDateInspDateInspIdInspDist 0STATUSPass9/12/201111/8/2011hwolfe 5FRAMINGYPass4/5/20124/9/2012hwolfe 5FRAMINGPPass3/14/20123/15/2012hwolfe 9FINALYPass4/12/20124/12/2012hwolfe