MS-2010-00095_0001.tif i
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CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
;, 15 il 7 77= ` UIedIiIg Permit ApplICStIOiI (402)426- 4191 -Phone
(402) 426 -4195 - FAX
MS -20'10 -00095 Q o , a ° www.blairnebraska.org
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09/01/2070 MISC Residential September 1,
LOCATIONOFIMPROVEMENT: 11578 Cord 27, Blair, NE 68008
ARCHITECT: GENERAL
CONTRACTOR: McKinnis Roofing & Sheet Metal
OWNER: Rasmussen, Roland Trust 164 S 1st St
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2711578 County Rd Blair, NE 68008
BLAIR, NE 68008 -0000
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NATURE OF WORK PROPOSED USE
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Siding Primary Residence
PROJECT NAME
PERMIT EXPIRES 08/31/2012
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11578Cord 27- 100901 - Siding
ESTIMATED COMPLETION DATE 2010 -09 -07 l
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DESCRIPTION OF WORK
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Siding replaced (vinyl). As well as some fascia and gutters.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor REScheck /COMcheck SUBMITTED: NA
DEPOSIT HELD: BUILDING PLANS SUBMITTED: NA
N/A
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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 electrical, plumbing, heating, ventilating and air conditioning, and septic system.
4. The undersigned owner or agent understands and acknowledges this building permit application does not constitute issuance of
this building permit. It is further understood that construction covered by this permit application shall not be commenced until a
copy of a permit signed by the Building Inspector is issued.
5. The undersigned owner or agent agrees to perform the proposed work in accordance with the specifications set forth above and
in accordance with the codes /ordinances of the City of Blair and the State of Nebraska. Any omission of or misrepresentation of
fact with or without the intention of the undersigned or any alteration or change from this application without approval of the
Building Icial, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
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ignature of pplicant ate