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i CITYOF BLAIR 218 S. 16TH STREET BLAIR, NEBRASKA 68008 i t <.. B uilding Permit Report (402) 426 -4191 - Phone (402) 426 -4195 - FAX MS- 2014 -03209 ise of www. blairnebraska.org i Issued: 11/03/2014 Completed: 06/09/2015 Miscellaneous Building Permit Valuation: 30000.00 PROPERTYADDRESS: 917 -929 Southfork Rd, Blair, NE 68008 Legal � Description GENERAL CONTRACTOR: C & S Roofing Inc. ® Property # 790000019 2211 Peoples Rd Ste B OWNER: Southfork Homeowners Association c/o Jim BELLEVUE, NE 68123 . 9Mbouthfork Rd 402 502 5559 Blair, NE 68008 a and .- . ' ^�.°'-�"& ..�.. ..a� "" :.,..,_ F�,'rJ ls. ws ✓ ,,.,P... , �;.w, sr, �.,`k .,:..e .� ,.,,,.,.,.' Nature of Work: Storm Repair Permit Fees: 155.00 Project Name: 917- 929SouthforkRd- 141031- 2014Storm Damage Deposit Status: $50 Description: Roof, gutters, siding Deposit Refund To: Contractor Deposit Receipt #: 38097 i Inspection History Inspections S InspType R F Status RegDate InspDate InspId InspDist 0 ROOFING Pass 6/3/2015 6/9/2015 jstangi 0 SIDING Pass 6/3/2015 6/9/2015 jstangl 9 FINAL Y Pass 6/9/2015 6/9/2015 jstangi I I i