MS-2012-00398_0001.tif I
CITY OF BLAIR
n 218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Application (402)426- 4191 -Phone
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( www ) www.blairnebraska.
00398 Ar�"Ilse o , a - nebraska.or � g
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09/20/2012 bpeterse MISC Residential September 20, 2012
LOCATIONOFIMPROVEMENT: 1627 South St, Blair, NE 68008
ARCHITECT: GENERAL SELF
a . OWNER: Aarron Lee And Mary Ellen Meeves CONTRACTOR:
1627 South St Blair, NE 68008
BLAIR, NE 68008 -0000
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NATURE OF WORK PROPOSED USE
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Roofing /Soffit/Eaves /Gutters Accessory building
PROJECT NAME PERMIT EXPIRES 09120/2014
1627S o uthSt- 120920 - Roofing
ESTIMATED COMPLETION DATE 10/31/2012 �
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DESCRIPTION OF WORK
Re- roofing Detachted garage Asphalt shingles
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DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheckSUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
Held
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 /ordin ces of the City of Blair and the State of Nebraska. Any omission of or misrepresentation of
fact with or without the intent f the undersigned or any alteration or change from this application without approval of the
B ' in Official, shall c s ' fficient ground for the revocation of any permit issued which was based on the approval of this
ppli tion.
Signature of Applicant Da te