MS-2012-00019_0001.tif ` CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
> i3 I t'I �)'s . ,; q\ Building Permit Application (402)426- 4191 -Phone
(402) 426 -4195 - FAX
MS- 2012 -00019
Ise � www.blairnebraska.org
02/0112012 MISC Commercial February 1, 2012
LOCATIONOFIMPROVEMENT: 1680 Front St, Blair, NE 68008
ARCHITECT:
GENERAL Jim La Hood Construction, Inc.
OWNER: S E Smith and Sons Lumber Co CONTRACTOR: 802 S. 50th Ave
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1680 Frnt St Omaha, NE 68106
BLAIR NE 68008 -0000
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NATURE OF WORK PROPOSED USE
Roofing /Soffit/Eaves /Gutters Primary Commercial
PROJECT NAME PERMIT EXPIRES 01/31/2014
1680FrontSt-1 20201 -Roofing
ESTIMATED COMPLETION DATE 2012 -03 -15
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DESCRIPTION OF WORK
Re- roofing with modified asphalt.
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DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor j
REScheck /COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
$50
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1. No work will be started before a per 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
f Buildin Official, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
applic 'ion.
Si u of Applicant Date