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pa 407.tif I CITYOFBLAIR 218 S. 16TH STREET BLAIR, NEBRASKA 68008 j Building Permit Application (402)426 -4191 - Phone p ��� (402) 426 -4195 - FAX MS - 2014 -00407 �'�s� Of ago www.blairnebraska.org i E 06/18/2014 bpeterse MISC Residential June 18, 2014 LOCATION OF IMPROVEMENT: 2354 Jackson St, Blair, NE 68008 ARCHITECT: GENERAL TRI -State Construction owNER: Edward C Jr And Gailanne Rhoades CONTRACTOR: 7412 Meadow Ln 2354 Jackson St LaVista, NE 68128 s BLAIR, NE 68008 -0000 ,, ., ,. , , _,: -. ,_. ,..: w. ; ... ,- , .„.., .a...r -�, „. :..,,✓ / ._-i yr .._ :'.; _. .�. . NATURE OF WORK PROPOSED USE Storm Repair Primary Residence PROJECT NAME PERMIT EXPIRES 06117/2016 2354JacksonSt- 140618 -2014 Storm Damage ESTIMATED COMPLETION DATE 12/31/2014 DESCRIPTION OF WORK Re- roofing with asphalt and vinyl siding replacement. DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA Contractor REScheck /COMcheck SUBMITTED: NA DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA $50 ..,. , , :. .: '» ,,. -,-. z'a .:.� lam' .: � � ... ^r�- yrc'.F^ � M ,.,. ;,= . -�%.:� G,s' "Y��,'.�. .✓ ,. 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 =stitute* f the undersigned or any alteration or change from this application without approval of the Building O shall co su 1 ient ground for the revocation of any permit issued which was based on the approval of this I" ti n. � P j nature of Applicant ate