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MS-2014-00307.tif i i CITYOFBLAIR 218 S. 16TH STREET BLAIR, NEBRASKA 68008 Building Permit Application (402) 426 -4181 - Phone 426-416 - FAX MS- 2014 -00307 ts of a ° ( w w.blai nebraska org MEMO I 06/1212014 bpeterse MISC Residential June 12, 2014 b LOCATIONOFIMPROVEMENT: 1054 James Dr, Blair, NE 68008 ARCHITECT: GENERAL D & M Construction OWNER: Dean B And Melva J Wulf CONTRACTOR: 3538 S 48th Ave j I ll,", 0_1 1054 James Dr OMAHA, NE 68106 BLAIR, NE 68008 -0000 „- G .. i. _. .. NATURE OF WORK PROPOSED USE Storm Repair Primary Residence PROJECT NAME PERMIT EXPIRES 06/1112016 1054JamesDr- 140612 -2014 Storm Damage ESTIMATED COMPLETION DATE 12/31/2014 I DESCRIPTION OF WORK Re- roofing with asphalt shingles with gutters, replacing front vinyl siding DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA Contractor REScheck/COMcheck SUBMITTED: NA DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA $50 I l a MEMO 6' N 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 Building icial, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this applic 0 U. Z A"n Date Signature of Applicant I CITY OF BLAIR, NEBRASKA Phone 40 2 -426 -4191 RECEIVED OF: ADDRESS CITY, STATE, ZIP CODE, 1 i i THANK YOU KEEP THIS COPY FOR YOUR RECORDS. NO RECEIVED BY Pounds Printing, Blair, NE 68008