2723_0001.tif CITYOF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
NO
111lC�lilg P ermit Rep (402) 426 -4191 -Phone
(402) 426 -4195 - FAX
MS- 2014 -02723 A10 /Se of Q o www.blairnebraska.org
Issued: 09/15/2014 Completed: 11/13/2Build ing Permit Valuation: 5143.00
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PROPERTYADDRESS: 623 N 11th St, Blair, NE 68008
Legal BC JOHNSON ADD LOT 6 114 PC 6
Description GENERAL
P Roofin
CONTRACTOR: Y g
Property # 890053921 1504 S Saddlecreek Rd
Omaha, NE 68106
OWNER: Darin D And Melinda J Gansebom
12609 N 189th Cir 402 502 9300
BENNINGTON, NE 68007 -0000
Nature of Work: Storm Repair Permit Fees: 115.00
Project Name: 623N11thSt- 140912 -2014 Storm Damage Deposit Status: $50
Description:
Roof Deposit Refund To: Contractor
Deposit Receipt #: 37534
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Inspection History
Inspections
S InspType R F Status RegDate InspDate InspId InspDist
0 ROOFING Pass 11/10/2014 11/13/2014 jstangl
9 FINAL Y Pass 11/13/2014 11/13/2014 jstangl
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