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1543 (2).tif i CITYOF BLAIR 218 S. 16TH STREET BLAIR, NEBRASKA 68008 U1IC�111g @r1111t Report (402) 426 -4191 -Phone (402) 426 -4195 - FAX MS- 2014 -01543 AI'd /se of o www.blairnebraska.org E Issued: 07/23/2014 Completed: 12/09/2014 Miscellaneous Building Permit Valuation: 25000.00 PROPERTYADDRESS: 2471 Hollow Rd, Blair, NE 68008 Legal BC TL 173 14 -18 -11 114 PC 6 19.67 AC Description GENERAL ASI Contracting, Inc " CONTRACTOR: Property # 890019600 4141 NE Lakewood Way OWNER: Evelyn J, Trustee Long Lee s Summit, MO 64064 2471 Hollow Rd 877 784 7663 BLAIR, NE 68008 -0000 �� - ' »'C � ,mss W -m-1 0 - 4 a° `,%,',-- .,;.^, ,..-L. r-:-,° . ..°.� .� -v5-, ,. =_.< ? ,< -fir.��- .:,�.: ..:.,., >. rw-- %= '' '� ��: �.,,s mom- . ,.... ..,:� .;,<,,.:., .,r'....,. ,.r..">- ., ... .S -.- .:�. ".;. _.,� :.,.... ;, ar?,,�, Nature of Work: Storm Repair Permit Fees: 115.00 Project Name: 2471 HollowRd- 140722 -2014 Storm Damage Deposit Status: $50 Description: Roof, windows, gutters, doors Deposit Refund To: Contractor Deposit Receipt #: 36629 Inspection History Inspections S InspType R F Status RegDate InspDate InspId InspDist 0 ROOFING Pass 10/9/2014 12/9/2014 aschank 9 FINAL Y Pass 12/9/2014 12/9/2014 aschank I I I