397 (2).tif CITYOF BLAIR
218 S.16TH STREET
GLAIR, NEBRASKA 68008
a (402) 426.419'1 - Phone
A Building Permit Application
(402) 426 -4195 •FAX c
www.blairnebraska.org j
MS -2014- 00396 # 'Qfi�s� at �+ ° °� °
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=MISC Residential June 17, 2014
LOCATIONOPIMPROVEMENT. 1725 Park St, Blair, NE 68008
ARCHITECT: GENERAL Pyramid Roofing
CONTRACTOR
Q OWNER: Henton Property 1, Lie 1504 S Saddlecreek Rd
13092 US Hwy 30 Omaha, NE &8°106
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BLAIR, NE 68008 -0000
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NATURE OF 'IJIt'+ORK� PROPOSED USE
Primary
Storm Repair
PERMIT EXPIRES 06t1612016
PROJECT NAME
1725P 140617 -2014 Strom Damage ESTIMATED COMPLETION DATE 1213112014
DESCRIPTION OF WORK
Remove and replace roog, gutters, garage doors, and windows I
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DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
RESchecklCOMcheckSUBMITTED: 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
roval of the
fact with or without the intention of the undersigned or any alteration or change from this application without app .
Building Official, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
application. L '
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Signature of Applicant