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CITYOF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Report (402) 426 -4191 -Phone
(402) 426 -4195 - FAX
MS -2014 -00420 /s of QJ www.blairnebraska.org
Issued: 06119/2014 Completed: 09/09/2014 Miscellaneous Building Permit Valuation: 59000.00
PROPERTYADDRESS: 910 -950 Southfork Rd, Blair, NE 68008
® Legal BC SOUTHFORK ADDITION LOT 24 UNITS 1 -4
Description GENERAL CONTRACTOR: C & S Roofing Inc.
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g Property # 790000017 -16 2211 Peoples Rd Ste B
OWNER: Southfork Homeowners Association c/o Jim BELLEVUE, NE 68123
91Wbouthfork Rd 402 502 5559
Blair, NE 68008
, �-7.m
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d
Nature of Work: Storm Repair Permit Fees: 115.00
Project Name: 810- 950SouthforkRd- 140619- 2014Storm
Damage Deposit Status: $50
Description:
Reroof, gutters, siding Deposit Refund To: Contractor
Deposit Receipt #: 35862
Inspection History
V Inspections R F status RegDa te InspDate InspId InspDist
Pass 9/8/2014 9/9/2014 jstangl
Pass 9/9/2014 9/912014 jstangl
9/9/2014 9/9/2014 jstangl
F Y Pass
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