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pd649_0001.tif l CITYOF BLAIR 218 S. 16TH STREET BLAIR, NEBRASKA 68008 Building Permit Report (402) 426 -4191 - Phone r �a (402) 426 -4195 - FAX MS- 2014 -00649 plo Mls e of ao www.blairnebraska.org Issued: 06/27/2014 Completed: 09/05/2014 Miscellaneous Building Permit Valuation: 14000.00 PROPERTYADDRESS: 967 N 27th St, Blair, NE 68008 ®t Legal BC LARSEN HEIGHTS LOT 6 BLK 5 114 PC 6 ® M. Description GENERAL Ambassador Home Improvement �w CONTRACTOR: :Property # 890054824 19688 Birdsley Rd E OWNER: Charles E Jr And Kathy J Larsen COUNCIL BLUFFS, IA 51503 3080 Westridge Dr 712 256 5002 BLAIR, NE 68008 -0000 '`yam.`' .- =5.. f ', r'"" ..�✓.r",w ,*..2 C=�`, ' - ;.'` . - g O NO ,�,�' '.... -'-," Nature of Work: Storm Repair Permit Fees: 115.00 Project Name: 967N27thSt- 140627 -2014 Storm Damage Deposit Status: $50 Description: Remove and replace asphalt shingles repair damaged Deposit Refund To: Contractor siding and windows. Deposit Receipt #: 36057 I I Inspection History Inspections I S InspType R F Status RegDate InspDate InspId InspDist 0 ROOFING Pass 8/20/2014 8/21/2014 jstangl 9 FINAL Y Pass 9/5/2014 9/5/2014 jstangl i L I i i