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CITYOF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Report (402) 426 -4191 - Phone
MS 201 -01 989 1`0 (402)
av� (402) 426 -4195 - FAX
Ise o t www.blairnebraska.or 9
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Issued: 08/11/2014 Completed: 11/05/2014 Miscellaneous Building Permit Valuation: 20000.00
5 PROPERTYADDRESS: 435 N 22nd St, Blair, NE 68008
Legal BC DEXTERS 1ST ADD LOT 3 BLK 9 114 PC 2
Description GENERAL Triton Exterior
CONTRACTOR:
Property # 890051065 1625 N 203rd St
Y OWNER: Chad Michael Adams
ELKHORN, NE 68022
435 N 22nd St 402 350 0064
BLAIR, NE 68008 -0000
W-mm .. ..�," �
Nature of Work: Storm Repair Permit Fees: 115.00
Project Name: 435N22ndSt- 140808 -2014 Storm Damage
Deposit Status: $50
Description:
Roof, windows Deposit Refund To: Contractor
Deposit Receipt #: 36990
Inspection History
Inspections
S InspType R F Status RegDate InspDate InspId InspDist
0 ROOFING NC 10/16/2014 10/17/2014 jstangl
0 ROOFING Y Pass 10/30/2014 11/5/2014 jstangl
1 9 1 FINAL Y I Pass 11/5/2014 1 11/5/2014 jstangl
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