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1763 (2).tif I CITYOFBLAIR 218 S. 16TH STREET BLAIR, NEBRASKA 68008 Building Permit Report (402) 426 -4191 - Phone (402) 426 -4195 - FAX MS- 2014 -01793 aro Mis e of Q www.blairnebraska.org Issued: 07 /30/2014 Completed: 09/17/2014 Miscellaneous Building Permit Valuation: 5000.00 PROPERTYADDRESS: 128 N 20th St, Blair, NE 68008 Legal BC S1/2 LOTS 5 & 6 BLK 40 114 PC 5 Description GENERAL r CONTRACTOR: Donald Andersen & Family L Property# 890043855 Blair, NE 68008 w OWNER: David W And Jann M Dibben 1937 Soren Dr 402 5331103 BLAIR, NE 68008 -0000 Nature of Work: Storm Repair Permit Fees: 115.00 Project Name: 128N20thSt- 140730 -2014 Storm Damage Deposit Status: $50 I Description: Roof Deposit Refund To: Contractor I Deposit Receipt #: 36819 i i I I I I i Inspection History Inspections S InspType R F Status RegDate InspDate InspId InspDist 0 ROOFING Pass 9/12/2014 9/15/2014 jstangl 9 FINAL Y Pass 9/17/2014 9/17/2014 jbeierma I i I I I I