MS-2012-00331_0001.tif CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Build rmit Application (402)426- 4191 -Phone
9 (402) 426 -4195 - FAX
MS -2012 -00331 nise 01 Q : , www.blairnebraska.org
08/1412012 bpeterse MISC Residential August 14, 2012
LOCATIONOFIMPROVEMENT: ,1966 ,) South St, Blair, NE 68008
ARCHITECT: GENERAL SELF
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�) OWNER: Facl7al al-Modg CONTRACTOR:
� O 7A / Blair, NE 68008
DALtA —, TX°T8
7 777 73z '
NATURE OF WORK PROPOSED USE
Roofing /Soffit/Eaves /Gutters Primary Residence
PROJECT NAME
PERMIT EXPIRES 08/14/2014
1966SouthSt- 120814 - Roof /Awning ESTIMATED COMPLETION DATE 10131/2012
DESCRIPTION OF WORK
Repairing and replacing awning on the front of the house.
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DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Owner, Dale Gaver Sr., 1966 South St.,
Blair NE 68008 REScheck/COMcheckSUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
Held
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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 Official, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
j plication.,
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nature of Applicant