MS-2014-00291.tif CITYOFBLAIR
218 S.16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Application (402)429. 4191 -Phone
MS -2014 -00291 � ����r (402) 426 -4195 - FAX
��so oc www.blairnebraska.org
06/4012014 bpeterse MISC Residential June 10, 2014
/ LOCATIONOFIMPROVEMENT: 1208 Westridge Dr, Blair, NE 68008
ARCHITECT:
GENERAL. Pyramid Roofing
lei OWNER H James Jr And Leann I Iseminger CONTRACTOR: 1504 S Sadd[ecrEek Rd
1208 Westridge Dr Omaha, NE 68106
I BLAIR, NE 68008.0000
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NATURE OF WORK PROPOSED USE
Roofing /Soffit/Eaves %Gutters Primary Residence
PROJECT NAME PERMIT EXPIRES 06109/2016
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Da mag 0SWestridgeDr- 140610.2014 Storm ESTIMATED COMPLETION DATE 121
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DESCRIPTION OF WORK
Remove and replace roof, gutters, garage doors, windows, siding and paint.
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DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheckSUBMITTED: NA
DEPOSIT STATUE;
$50 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 11
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 sufFiclent ground for the revocation of any permit issued which was based on the approval of this
application
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igla tore of Applicant Date
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CITY OF BLAI• 1, N
Phone 4 02 - 426 -4191
RECE EDOR
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STATE, ZIPCODE ( 402) 426 - 66 - Tg
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HERCNANi OI 00000935313
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MAIL ORDER BALE
BOTCN1 000088 I NV : 001185
Jun 10, 14
15:09
RRIII 418120208753 RUTH: 010152
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CODE! N
TRAN SEA! #: 001441
_ TRANSACTION I0 584181725950127
ZIP HATCH
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THANKYOU w
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NO 35 691 ��
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Pounds Printing, Blair, NE 68008
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