MS-2014-00523_0001 (2).tif i
CITYOF BLAIR
218 S. 16TH STREET {
BLAIR, NEBRASKA 68008
max Building Permit Report (402) 426 -4191 -Phone
MS- 2014 -00523 (402) 426 -4195 - FAX
/Se os a www.blairnebraska.org
Issued: 06/24/2014 Completed: 09/03/2014 Miscellaneous Building Permit Valuation: 13000.00
PROPERTYADDRESS: 1133 Jackson St, Blair, NE 68008
Legal BC W1/2 LOT 3, E1/2 LOT 4 & PT OF VAC ST
® Description BLK 90 114 PC 8 GENERAL
CONTRACTOR: C & S Roofing Inc.
2211 Peoples Property # 890047061 Rd Ste B p
A BELLEVUE, NE 68123
OWNER: Rhonda R Matney
�- 1133 Jackson St 402 502 5559 f
BLAIR, NE 68008 -0000
AW
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Nature of Work: Storm Repair Permit Fees: 115.00
Project Name: 1133JacksonSt- 140624 -2014 Storm Damage
Deposit Status: $50
Description:
Roofing, siding, gutters Deposit Refund To: Contractor
Deposit Receipt #: 35979
Inspection History
Inspections
S InspType R F Status RegDate InspDate InspId InspDist
0 ROOFING Pass 8/25/2014 8/27/2014 jstangl
0 SIDING Pass 8/27/2014 8/27/2014 jstangl
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9 FINAL Y Pass 9/312014 9/3/2014 aschank
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