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CITYOF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
I I 1 n Permit (402) 426 -4191 -Phone
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a (402) 426 -4195 - FAX I
MS-2014-0 A ��'�se of www.blairnebraska.org
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Issue d: 06/25/2014 Completed: 09/12/2014 Miscellaneous Building Permit Valuation: 25000.00
PROPERTYADDRESS: 10281 Crystal Lake Dr, Blair, NE 68008
Legal CRYSTAL LAKE ESTATES FIRST ADD LOT 14
Description 12B PC 14 3.01 AC GENERAL Midwest Homes, LLC
� CONTRACTOR:
Property # 890087399 10605 108th St
OWNER: Gregory D And Jolene M Kulus Weeping Water, NE 68463
r 10281 Crystal Lake Dr
y 402 714 9903
BLAIR, NE 68008 -0000
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Nature of Work: Storm Repair Permit Fees: 115.00
Project Name: 10281 Crystal LakeDr- 140625 -2014 Storm
Damage Deposit Status: $50
Description:
Deposit Refund To: Contractor
Roogin, gutters, siding
Deposit Receipt #: 36009
Inspection History
Inspections
S InspType R F Status RegDate InspDate InspId InspDist
0 ROOFING Pass 8/25/2014 9/9/2014 aschank
0 SIDING Pass 9/9/2014 9/9/2014 aschank
1 9 1 FINAL Y I Pass 9/12/2014 9/12/2014 pcgreen
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