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CITYOF BLAIR
r 218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building P @Pi111t App CatlOtl (402) 426 -4191 - Phone
9 ��3 (402) 426 -4195 - FAX
MS- 2014 -00348 Ali se o , Q� www.blairnebraska.org
06/1312014 pcgreen 77 717C Residential June 13, 2014
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LOCATIONOFIMPROVEMENT: 1518 Colfax St, Blair, NE 68008
w ®c ARCHITECT: GENERAL Pyramid Roofing
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® OWNER: Henton Property I, Lie CONTRACTOR: 1504 S Saddlecreek Rd
3013092 Us Hwy Omaha, NE 68106
BLAIR, NE 68008 -0000
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NATURE OF WORK PROPOSED USE
Storm Repair Two multi -unit apartments
PROJECT NAME PERMIT EXPIRES 06/12/2016
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1518ColfaxSt- 140613 -2014 Storm Damage 12/31/2014
ESTIMATED COMPLETION DATE
DESCRIPTION OF WORK
Remove and replace asphalt singles, gutters, siding, windows and some interior work at 1518 Colfax, 1520 Colfax,
1522 Colfax, 363 S 15th & 355 S 15th
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
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
app /' afon.
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Signature of Applicant Date