Permit Application.tif i
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CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
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Building Permit Application (402)426- 4191 -Phone
(402) 426 -4195 -FAX
MS 2012 - 00504 l °n;se of C\ www.blairnebraska.org
11105/2012 MISC Residential Novembers, 2012
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LOCATIONOFIMPROVEMENT: 1730 Nebraska St, Blair, NE 68008
ARCHITECT:
GENERAL Precision Building & Remodeling Inc
r, ® OWNER: D Power Properties, Llc CONTRACTOR: 512 S 10th St NE
507 Sherwood Rd Scribner, NE 68057
NORFOLK, NE 68701 -0000
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NATURE OF WORK PROPOSED USE
Roof! ng /SoffitlEaves /Gutters Primary Residence
PROJECT NAME PERMIT EXPIRES 11/05/2014
1730NebraskaSt- 121105 - Roofing ESTIMATED COMPLETION DATE 11115/2012
DESCRIPTION OF WORK
Tearing off 1 layer asphalt shingles and replacing with asphalt
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck /COMcheckSUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
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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
uilding Official, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
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