MS-2010-00160.tif CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
B uilding Permit Application (402)426- 4191 -Phone
(402) 426 -4195 - FAX
MS- 2010 -00160 brO �is e of a www.blairnebraska.org
10/13/2010 MISC Residential October 14, 2010
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LOCATIONOFIMPROVEMENT: 2640 S Hwy 30, Blair, NE 68008
ARCHITECT:
GENERAL Complete Industries Inc
OWNER: Raymond L And Glenda L Preister CONTRACTOR: 9402 Fairview Rd
2640 S Hwy 30 PAPILLION, NE 68046
BLAIR, NE 68008 -0000
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NATURE OF WORK PROPOSED USE
Roofing /Soffit/Eaves /Gutters Primary Structure
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PROJECT NAME PERMIT EXPIRES 1011212012
2640SHwy 30- 101013 -2 ESTIMATED COMPLETION DATE 2010 -10 -18
DESCRIPTION OF WORK
Reroof and add gutters -house and shop. Removing one layer
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DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheckSUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
$50
1 M z,
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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 /ordin'ahces 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 Official, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
application.
Date
Signature of Applicant
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