pd 2976_0001.tif i
CITYOF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
-. Building Permit Report (402) 426 -4191 -Phone
® (402) 426 -4195 - FAX
MS - 2014 -02976 e of � www.blairnebraska.org
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Issued: 10 /06/2014 Completed: 06/11/2015 Miscellaneous Building Permit Valuation: 15000.00
PROPERTYADDRESS: 1218 Jackson St, Blair, NE 68008
Legal BC E100' E190' S170' LOT 15 & PT OF VAC ST
Description BLK 117 115 PC3 GENERAL
CONTRACTOR: F/S Contracting
- Property # 890048286 324 S 13th St
OWNER: Gerald P And Janet L Jorgensen Tekamah, NE 68061
1218 Jackson St 402 808 4005
BLAIR, NE 68008 -0000
Nature of Work: Storm Repair
Per Fees: 115.00
Project Name. 1218JacksonSt- 141006 -2014 Storm Damage
Deposit Status: $50
Description:
Roof, gutters Deposit Refund To: Contractor
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Deposit Receipt #: 37792
Inspection History
Inspections
S InspType R F Status RegDate InspDate InspId InspDist
0 ROOFING NC 5/29/2015 5/29/2015 jstangl
0 ROOFING Y Pass 6/3/2015 6/5/2015 jstangl
9 FINAL Y Pass 6/11/2015 6/11/2015 jbeierma