377.tif 2014 - Jun -19 07:04 AM Greenguard Construction 507 -208 -4336 2/4
Jun. 17. 2014 h04P 1 C ITY O BLAIR (402.426, 41911 qoZ, No. 38145d, 2/4,
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�y Building Permit Application I4pzl 4101 . Phnna 426-4195 - FAX
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IN 11
00H 712014 MISC 'Residential June 17, =ZD14
L00ATIONOPIMPROVEMENT, 2260 Hlakary Glr, HlAl', N11 813000
ARCHri>:M GENERAL Groonauard Danctruo I nc
QMER: Tindd A. And Diana K Fisher CQNTRACTOR: 14301 FN9 PKWY 100
2265 Hickory Oir OMAIiA, NE 68154
BLAIR, NE 80008.0000
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NAWRE IMP WORK FROPOSPID 09
Starm Repair Primary RDaldonce !
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PROJECT NAME
PERMIT EXPIRE -9
22601-1111okory0tr- 140017 -2014 Storm aamagv ESTIMA"FI5-11 COrit PLI15T DATE 1213JI2014
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DESCRIPTION OF WORK ' i
TOar gaff r0of, re -roof With asphalt
05100SIT P,Alb 9Y; SITE PLAN £fJM11'1113: NA
contractor
I F8ohualrrO0MDh6ohUSMITTM.' NA
DEPOSIT STA`l V9w, BUILDING PLANS SUBMITTED; NA r
VIM
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1. No work will ba Marfsd barera n petmlt is ISSUED AND POST F.D.
2. For cdmmorolal permits, a sul of plans tar this project mual be atrbmltted to the Nebraska $4a►ej Fire MsrahaVa Ofilce for rovlaw.
a. �Separsle permits are rogUired i0f el0olllual, p lumbing. hosting, Vent l litlin0 and air condliloriing, and seplla system.
4, The undaraIgnad owner or agent undardlands and acknowledges IN: building pernill appilca tan dQea net constitute Issuance of
INA building permit, It Is further undarstaod chat ccnSttuatlon covered by this permit appliaal on shalt not be commenced Vntli a
doPy of a pe rmll signed by the Bu ilding I ns peolor Is Ieeuad. r .
6-The Undersigned owner or agent egress to porrortn the proposaa Ymrk in accor0ance wil th VtW roattvrts set mien above mild
In accordance with the oodestordinances of the tatty of SlaIr and the Stale of Nebraska. Any amissi0n of or misrerresanlallon 0f
that With or withqui the i of the undoratpnsd or any alteration or cheri$a (torn this application Without u ppraaal of the
13u1161ng f0cl ahaH constitute stifilolent ormind for the ravaaatlon of any permit issued whlc i was based +a/r� Ihs Bpproval of this
appllaatloh.
aturo of Applloanl pots
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