MS-2012-00020_0001.tif CITY OF BLAIR
218 S. 16TH STREET
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BLAIR, NEBRASKA 68008
Building Permit Application (402)426- 4191 -Phone
MS -207 2 -0002® (402) 426- 4195 -FAX
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" ) Ise 0 www.blairnebraska.org
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02/01/2012 MISC Commercial February 1, 2012 j
LOCATIONOFIMPROVEMENT: 284 N 16th St, Blair, NE 68008
ARCHITECT:
=i3 GENERAL Jim La Hood Construction, Inc.
OWNER: S E Smith and Sons Inc 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 -SE Smith Mill Building
PROJECT NAME PERMIT EXPIRES 01/31/2014
284N16thSt- 120201- Roofingq ESTIMATED COMPLETION DATE 2012 -03 -15
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DESCRIPTION OF WORK
Re- roofing with asphalt.
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DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck /COMcheck SUBMITTED: NA
DEPOSIT STATUS; BUILDING PLANS SUBMITTED: NA
$50
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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
r Building Official, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
application.
i t of Applicant Date