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MS-2012-00057 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-2012-00057 www.blairnebraska.org CITY OF BLAIR APPLIED DATEPERMIT TYPETODAYS DATE ISSUED BYWORK CLASS \ Completed:10/05/2012Miscellaneous Building Permit1500.00 Issued:Valuation: 05/31/2012 1218 Jackson St, Blair, NE 68008 A PROPERTY ADDRESS: DBC E100'E190'S170' LOT 15 & PT OF VAC ST Legal N DBLK 117 115 GENERAL Description SELF A CONTRACTOR: D M Property #890048286 R EBlair, NE 68008 OWNER:Gerald And Wf Jorgensen E + S 1218 Jackson St S BLAIR, NE 68008-0000 Nature of Work:Patio/DrivewayPermit Fees: 115.00 1218JacksonSt-120312-Driveway Project Name: Deposit Status: $50 Description: Deposit Refund To: Contractor Tearing out and repouring driveway into same footprint. 30796 Deposit Receipt #: Inspection History Inspections SInspTypeRFStatusReqDateInspDateInspIdInspDist 9FINALYPass10/5/201210/5/2012hwolfe