3020 permit_0001.tif I
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CITYOF BLAIR
7 218 S. 16TH STREET
BLAIR, NEBRASKA 68008
U Il g erm pp I 1 ca O 11 (402) 426 -4191 -Phone
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S- 2014 -00327 aom � } Jo\`�aa (402) 426 -4195 - F ax
Ise of a www.blairnebraska.org
06112/2014 MISC Residential June 12, 2014
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LOCATIONOFIMPROVEMENT: 3020 College Dr, Blair, NE 68008
ARCHITECT:
a �> GENERAL Shore to Shore Home Improvement
p OWNER: Taryl Ann Wolgan CONTRACTOR: 4812 Circle Dr
3020 College Dr Blair, NE 68008
BLAIR, NE 68008 -0000
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NATURE OF WORK PROPOSED USE
Storm Repair Primary
PROJECT NAME PERMIT EXPIRES 06/11/2016
3020CollegeDr- 140612 -Storm Damage
ESTIMATED COMPLETION DATE 12/31/2014
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DESCRIPTION OF WORK
Replacing vinyl siding, windows, gutters and ashphalt shingles
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
RES check/CO Mcheck SUBMITTED: NA
DEPOSIT STATUS: 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
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.
Signature of Applicant Date
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