MS-2012-00354_0001.tif Aug 2Q1212:53p 8VY|VV|NDOVVS 7126443668 p.1
CITY oFBWUR
2188.16TH STREET
0 Q-,
oLA/n NEBRASKA 68008
Building Permit Application (402)426 -Phone
MS-2012-00354 "Oise 01 www.blairnebraska.org
108128/2012 bpeterse M�MMISC Residential Aug ust 29, 2012
LOCATIONOFIMPROVEMENT; 786 N 10th Ave, Blair, NE 68008
ARCHrrEaP
- ---- - GENERAL SWI Windows Doors & More
I�NER Blair Housing Authority COVrPAMR 203 E 7th St
BLAIR, NE 68008-0000
NATURE OF WORK PROPOSED USE
PROJECT NAME PERMIT EXPIRES 0812812014
ESTIMATED COMPLETION DATE SM5120112
DESCRIPTION OF WORK
Re-Roofing entire duplex, adding soffits, fascia and gutters.
DEPOSIT PAID BY. SITE PLAN SUBMITTED. NA
Contractor
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
1.No work will bw started before a permit ie 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 iaououcu of
this building permit. |tia further understood that construction covered by this permit application shall not be commenced ordi| a
copy ofo permit signed by the Building Inspector inissued.
5. The undersigned owner or agent agrees to perform the proposed work in accordance with the specifications set forth above and
in accordance Wi0hthe oudestordinanneoof the City wf Blair and the State cfNebraska- Any omission ofor 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 revocafion of any permit issued which was based on the approval of this
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