MS-2014-01699_0001.tif CITYOFBLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Report (402) 426 -4191 - Phone
(402) 426 -4195 - FAX
MS- 2014 -01699 A1 0n Se o , www.blairnebraska.org
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Issued: 07/28/2014 Completed: 12/19/2014 Miscellaneous Building Permit Valuation: 18000.00
� � PROPERTYADDRESS: 10210 Cook Dr, Blair, NE 68008
W OAK PARK FIRST ADD LOT 2 BLK 5 12B PC 2
Legal GENERAL
Description 3.69 AC H C S Restoration
CONTRACTOR:
4089 S 84th St Ste 154
1 Property # 890075369 OMAHA, NE 68137
OWNER: Tsi, Llc
9556 Pine Crest Rd 402 699 0304
BLAIR, NE 68008 -0000
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Nature of Work: Storm Repair Permit Fees: 115.00
Project Name: 10210CookDr- 140728 -2014 Storm Damage
Deposit Status: $50
Description:
Roof, doors, siding Deposit Refund To: Contractor
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Deposit Receipt #: 36757
Inspection History
Inspections
S InspType R F Status RegDate InspDate InspId InspDist
0 ROOFING Pass 12/10/2014 12/19/2014 aschank
0 SIDING Pass 12/10/2014 12/19/2014 aschank
9 FINAL Y Pass 12/19/2014 12/19/2014 aschank
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