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MS-2010-00055.tif i 08/18/2010 13:27 4023917799 LASTIME PAGE 01/02 Auk, 18, 2010 2:45PM CITY OF BLAIR (402, 426, 4191) No. 5678 P. 2 CITY OF BLAI 248 S. '16TH STRUT MAIR, NEBRASKA 6$1108 Building Perm Ap (402J42d- 4191 - phone n l l (402) 426 -4496 � FAx www.blairnebrnaka.org b eterse MISC �tesidcntial August i8, 08/48/2010 P LOCAT10NOFIMPROVEMENT 13146 Cord 20, glair, NP 68008 ARCHrMOT. nCNEP,AL ' ���� © p ; Lest +rn+s RaafingfOutteringlAwntng a QMM! Bryan E And i;hantelle M Habell 8901 Maple St 2618445 County Ind atrtaha, NE 8[1184 I IILAIR, NE 68008.00811 Eli, I I NATURE 4l~ WORK primary USE primary Residence Roofing /Sof tlEavO utters fi PERMIT EXPIRES 08117/2012 PROJECT NAME 134480ord26- 100818 -R00f ESTIMATED COMPLETION PLETION DATE; 20 t0�06 -19 j i DESCRIPTION OF WORK Tearing off and repiAtIng with asphalt shittc9ies with ice guard DEPOSIT PAIL? V1. SITE PLAN SU 3MiTTED, NA Contractor, RE8oh*ck1C0Mcheck8UBMITT4D NA DEPOSIT HELD: I)#IILDING PLANS SUBMITTED: NA NIA 1. No work will be started before a permit is ISSUED AND POSTED. 2. For commercial permits, a set of plans for this project must be submitted to the Nebraska State Fire Marshal's Office for review. 3, Separate permits are required for eloolrical, plumbing, heating, ventilating and air conditioning, and septic system. 4. The undersigned owner or agent understands and acknowledges Ihis building permit applloatlon does not constitute issuance of this building permit, it is further understood that cons#ruotion covered by this permit application shall not be commenced until a copy of a permit signed by the Building Inspuat6f 10 Issued. a. The undersigned owner Or agent agrees to perform tho propotod worlc in accord;Rnce with the spacillcatlans set forth above and In scrordenoe wlkh the c0d0slardinances of tho City of Eclair and the Stag of Nebraska., Any omission of or misrepresentation of f ae with or without the intention of the undersigned or any altems]tlon or change 'tram this application without approval of the t Building Official, sh;:tll constitute sufficient ground for the revocation at any permit issued which was basted on the app roval of this appliotich. � CJ + i i ❑ate Slgnoturo of Applicant J I I i I I 08/18/2010 13:27 4023917799 LASTIME PAGE 02/02 Aug, 18, 2010 2.4.6PM CITY OF 0LAIR /402. 426.41911 No, 5678 N. 4 CITY Of i BLAI Ab I i 0 tse 01'� i ROOF PERMIT SUPP�31�'CI�1t� DOCUMENTS This supporting document includes information dealing with particular code requirements and/or roofing permit requirements. It io no way Includes parki code items. Also, it is your responsibility to k the 2006 Intornationa 91d9n PS de requirements that apply to your project. Pleese understand this document is only designed and distributed to eid you in your roofing permit process. A copy of the International Building Code is avOilable for your use at the Blair Public Library. i j i have read the above disclosure and accept this building permit documentation on my own behalf assuming Bill responalbility as the ownertcontractor for this project. 6wner /occupant Contractor i (� of glair D e 218 gt5Ulb 161h stretf - Blair, NebrdMu 68008 • 402.426 -4141 ^ fax 402 - 426.4145 F-mall c%1of1)101 01.blafrn9.uo i I