MS-2014-00292.tif CITY OF BLAIR, NEBRASKA
Phone 402 - 426 -4191
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Pounds Printing, Blair, NE 68008
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CITYOF GLAIR
218 S.16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Application (402) 426- 4191 - Phone
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MS -2014 Q4292 °'�isa'ot ��° www. blairnebraska.org
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06/10/2014 bpeterse M1SC lResidential June 10, 2014
I LOCATIgNOFIMPROVEMENT: 1222 Westridge Dr, Blair, NE 68008
ARCHITECT:
GENERAL Pyramid Roofing
yll in)r. OMER Mark And Beth Holdridge CONTPAOTOR: 1504 S Saddiecreek Rd
lhr,; 1222 Westridge Dr Omaha, NE 68106
' I BLAIR, NE 68008.0000
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NATURE OF WORK PROPOSED USE I '
Roofing /Soffit/Eaves /Gutters Primary Residence
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PROJECT NAME
PERMIT EXPIRES 06109/2016
1222WestridgeDr- 140610.2014 Storm
Damage ESTIMATED COMPLETION DATE 12181/2014
DESCRIPTION OF WORK
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Remove and replace roof, gutters, paint, windows, garage doors & entry door.
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DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheckSUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
$50
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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 j
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
lication.
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Signature of Applicant Date r
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