MS-2011-00163_0001.tif CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
UI�C�IIIC� @t1111t�►�Jp�ICc��1011 (402) 426 -4195 - FAX
(402)426- 4191 -Phone
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MS- 2011 -00163 'On,� °t a� www.blairnebraska.org
05/13/2011 bpeterse MISC Residential May 13, 2011
3 LOCATIONOFIMPROVEMENT: 1606 Wilbur St, Blair, NE 68008
ARCHITECT:
GENERAL TRI -State Siding �
OWNER: Gary W And Susan E Thomas CONTRACTOR: 7412 Meadow Ln
1606 Wilbur St LaVista, NE 68128
BLAIR, NE 68008 -0000 V "11NM
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NATURE OF WORK PROPOSED USE
Roofing /Soffit/Eaves /Gutters Primary Residence
PROJECT NAME PERMIT EXPIRES 05112/2013
1606WilburSt- 110513 - Roofing and Siding
ESTIMATED COMPLETION DATE 2011 -07 -31
DESCRIPTION OF WORK
Re- roofing replacing with asphalt and vinyl siding.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
i
Contractor
REScheck /COMcheckSUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
Held
40.
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 O I, shall co i ute su 'cient ground for the revocation of any permit issued which was based on the approval of this
l ", =a plic 'on. j
ignature of Applicant ate