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CITYOI= BI-AIR
,� •, ; 218 S. 4 6TH STREET
BLAIR, NEBRASKA 68008
(402) 426.4191 - Phone
Building Permit Application (402) 426 -4195 - FAX
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MS - 20'14 - 0039? „� p , A' °n www.blairnebraska.org
[06 /1712014 MISC Residential June 17, 2D14
• ' LOCATIONOFIMPROVEMENT: 2033 Front St; Blair, NE 68008
ARCHITECT.
GENERAL Pyramid Roofing
r B 3} WINER John R Henton CONTRACTOR 1504 S Saddlecreek Rd
29 9605 Co Rd Omaha, NE 65106
- SLAIR, NE 680086167
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NATURE�OF WORK �� PROPOSED USE
Storm Repair Primary
PERMIT EXPIRES 0611612016
PROJECT NAME
2033FrontSt- 140617 -2014 Strom Damage ESTIMATED COMPLETION DATE 1213112014
DESCRIPTION OF WORK
Tarps, remove and replace roof, gutters, windows
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
RF- SchecklCOMcheekSUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
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, i
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�-� Data
Signature of° Applicant =.