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MS-2014-02292_0001.tif i CITYOF BLAIR 218 S. 16TH STREET BLAIR, NEBRASKA 68008 "AVUMMEM Building Permit R (402) 426 -4191 - Phone (402) 426 -4195 - FAX MS- 2014 -02292 Ise of www.blairnebraska.org I Issued: 08/19/2014 Completed: 09/04/2014 Miscellaneous Building Permit Valuation: 12000.00 PROPERTYADDRESS: 564 S 17th St, Blair, NE 68008 ®= Legal BC S100' N360' LOT 4 BILK 112 114 PC 5 Description GENERAL SELF a CONTRACTOR: „Property # 890048055 OWNER: Blair, NE 68008 Ronald R And Gloria Jensen 564 S 17th St w v ,V BLAIR, NE 68008 -0000 IN � -'r' r F 5 '?�-r_.i' x � - - tf� ° � �„�r.�� '�.: � ��w� ry � �`� ✓ *ap MEM � ,°�', A.. .. �r�,��; -}.: �"`'`�. °� �'�f ✓. t''x Nature of Work: Storm Repair Permit Fees: 115.00 Project Name: 564S17thSt- 140819 -2014 Storm Damage Deposit Status: $50 i Description: Roofing, gutters, windows Deposit Refund To: Contractor Deposit Receipt #: 37151 i i Inspection History Inspections S InspType R F Status RegDate InspDate InspId InspDist 0 ROOFING Pass 9/3/2014 9/4/2014 jstangl 9 FINAL Y Pass 9/4/2014 9/4/2014 jstangl I i i i C i I