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CITYOF BLAIR
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216 $.16TH STREET
BLAIR, NEBRASKA 68008
+ � Building Permit Application (402) 426 .4191 - Phone
MS- 2014 -00390 (402 426 -4196 _ FAX
M4 of www.blairnebraska.org
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0611712014 MISC Residential June 17,201 [
LOCATIONOFIMPROVEMENT: 2239 South St, Blair, NE 68008
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x� ARCHITECT: GENERAL Pyramid Roofing
Y` OWNER: Jared K Christoffersen CONTRACTOR: 1504 S Saddlecreek Rd
2239 South S
,. t Omaha, NE 681E36
BLAiR, NE 6800$ -0000
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NATURE OF WORK PROPOSED USE
Storm Repair Primary
PROJECT NAME PERMIT EXPIRES 06/1612016
2239SauthSt- 140617-2014 Storm Damage
ESTIMATED COMPLETION DATE 12/3112014
DESCRIPTION OF WORK
Remove and replace roof, and siding. Door and windows as well
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheckSUBMITTED: 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 Build ing'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,int noon of the undersigned or any alteration or change from this application without approval of the
Building Official, shall c¢nstute sufficient ground for the revocation of any permit issued which was based on the approval of this
application. ,
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aturo of Applicant
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