MS-2014-00283.tif i
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CiTYOF GLAIR
218 S.16TH STREET
BLAIR, NEBRASKA 68008' i
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Building ermit Application (402 426- 4191 - Phone
(402) 426.4195 - FAX
MS »2014 -00283 $ os � ° ° www.blairnebrasko.org
06110/2014 MISC Residential June 10, 2014
s OCATIONOFIMPROVEMENT: 2289 Meadow Dr, Blair, NE 68008
ARCHITECT:
d GENERAL The Roofing Moose
P OWNER: Spencer S And Christina M Stednitz CONTRACTOR: 20164 Husker Dr
2238 Meadow Dr GRETNA, NE 68028
BLAIR, NE 68008 -0000
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NATURE OF WORK PROPOSED USE
Storm Repair Primary residential
PROJECT NAME PERMIT EXPIRES 06/09/2016
2239MeadowDr- 140610 -2014 Storm Damage ESTIMATED COMPLETION DATE 1213112014
DESCRIPTION OF WORK
Roofing, siding, windows, gutters
DEPOSIT PAID BY: SITE PLAN SUBMITTED- NA
Contractor }
RESchecklCOMcheckSUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
1, No work will be started before a permit is ISSUED AND POSTER.
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
application.
5 ;nature of Applicant ete
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CITY OF BLAIR, NEBRASKA
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Phone 402 - 426 -4191
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ADDRESS
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THANK YOU KEEP THIS'COPY FOR YOUR RECOR
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RECEIVED BY
Pounds Printing, Blair, NE 68008
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