MS-2014-00293.tif i
j CITYOFBLAIR
218 S.16TH STREET
"Al BLAIR, NEBRASKA 68008
� , ,�i.ulllllrt �'(I: i A• ,.�' Building Permit Application (402) 426w4191 »Phone
(402) 426 -4195 - FAX
MS 20'1400293 � "omrs as www.blairnebraska.org
06/1012014 bpeterse MISC Residential June 10, 2014
LOCATIONOFIMPROVEMEW. 922 N 25th Ave, Blair, NE 68008
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A {I ARCHITECT:
S GENERAL Pyramid Roofing
OWNER Kimberley A Reeh CONTRACTOR: 1504 S Saddlecreek Rd
922 N 25th Ave Omaha, NE 68106
I �f' BLAIR, NE 68008.1133
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NATURE OF WORK PROPOSED USE
Roofing /Soffit/Eaves /Gutters
Primary Residence !
PROJECT NAME PERMIT EXPIRES 06109/2016
922N25thAve- 140610- 2014Storm Damage ESTIMATED COMPLETION DATE 1213112014
DESCRIPTION OF WORK
Remove and replace roof, gutters, siding, windows and deck work.
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DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
RESaheck /COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
$50
,+, 2„ F �t t i..a.
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 alcove 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
appi cation.
ignature of Applicant ° ', Date
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CITY OF BLAIR, NEBRASKA
Phone 40 2 - 426 -4191
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BLAIR U HE 68008
CITY STATE, ZIPCODE ( 402) 476
TERMINAL ID,., 71 979516 j
000009353703
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MAIL ORDER SALE
BATCH., 000086 I NU : 001185
Jun 10, 14 15 :09
NO 416120208783 AUTH: 010152
NUS: Z
U -CODE. M
TRAM SEQ #: 001441
TRANSACTION ID., 884161728950127
ZIP MATCH
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Pounds Printing, Blair, NE 68008