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temp (19).tiff CITY OF BLAIR 218 So 16TH STREET BLAIR, NEBRASKA 68008 P ERMIT NUMBER Building Permit Re port (402) 426 -4191 -Phone h \��$ (402) 426 -4195 -FAX MS 2014 -02833 °n, of Q �° www.blairnebraska.org 0 1 Issued: 09/22/2014 Completed: 12/04/2014 Miscellaneous Building Permit Valuation: 14000.00 PROPERTYADDRESS: 1005 N 28th Ave, Blair, NE 68008 � - Legal BC COLLEGE HEIGHTS ADD LOT 16114 PC 16 � Description GENERAL Absolute Roofing � CONTRACTOR: - Property # 890050659 17330 W Center Rd Ste 110 OWNER: Daniel R Broz OMAHA, NE 68130 1200 Kelland Dr 4026808297 NORFOLK, NE 68701 -0000 Nature of Work: Storm Repair Permit Fees: 115.00 Project Name: 1005N28thAveml 40922=2014 Storm Damage Deposit Status: $50 Description: Roofing and Gutters. Deposit Refund To: Contractor Deposit Receipt #: 37612 Inspection History Inspections S InspType R F Status ReqDate InspDate InspId InspDist 0 ROOFING Pass 110/28/2014 12/4/2014 jstangl 9 FINAL Y Pass 12/4/2014 12/4/2014 jstangl