MS-2015-00162_0001.tif i
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CITYOF BLAIR
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218 S. 16TH STREET
BLAIR, NEBRASKA 68008
�n w Building Permit Report (402) 426-41x1- Phone
(402) 426 -4195 - FAX
MS- 2015 -00162 ° hlse of www.blairnebraska.org
Issued: 03 /20/2015 Completed: 04/08/2015 Miscellaneous Building Permit Valuation: 2600.00
PROPERTYADDRESS: 1041 Jackson St, Blair, NE 68008
Legal BC LOTS 3 & 4 & PT OF VAC ST BLK 89 114 PC
g Description 10 GENERAL Jorgensen Contracting, Inc.
CONTRACTOR:
r - Property # 890046984 530 Front St
w OWNER: Wayne R And Jane A Smith Blair, NE 68008
1041 Jackson St 402 426 4440
BLAIR, NE 68008 -0000
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Nature of Work: Storm Repair Permit Fees: 115.00
Project Name: 1041JacksonSt- 150319 -2014 Storm Damage Deposit Status: $50
Description:
Replace carport, attached garage metal roof. Deposit Refund To: Contractor
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Deposit Receipt #: 39150
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Inspection History
Inspections
S InspType R F Status RegDate InspDate InspId InspDist
0 ROOFING Pass 4/6/2015 4/8/2015 aschank
9 FINAL Y Pass 4/8/2015 4/8/2015 aschank
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