466.tif CITYOF LAIR
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218S.16 H STREET
BLAIR, N BRASKA 68008
Buildi P A pplication �►rJ��Ca��Of7 (402) 42 t -4191 - Phone
MS- 2014.00466 �A� \ .�(402) 42 -4195 - FAX
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www.bia rnebraska.org
06/20/2014 rMl Residential une 20, 2014
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. tt LOCATIONORMPROVEMENT. 13342 Hwy 91, Blair, NE 68008
J 6s ARCHITECT
I , GENERAL. Pyramid Roofing
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OWNER: N�R. Lynn D And Uffel Glenn K O "hanlon C ONTRACTOR:
id, 1504 S Saddlecreek Rd
Omaha, NE 68106
91 13342 State Hwy
F BLAIR, NE 68008 -0000
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NATURE OF'WORK STRUCTURE
Storm Repair Primary Residence
PROJECT NAME
PERMIT EXPIRES 0 119/2016
13342Hwy 91- 140624 -2014 Storm Damage ESTIMATED COMPLETION DATE 12/3'[12014
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DESCRIPTION OF WORK
Roofing and gutters
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
RESchecklCOMcheck SUBMITTED: 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' 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 dIanstitute 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 specification , 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 wi hout approval of the
Building Official, shall constitute sufficient ground for the revocation of any permit issued which was based o the approval of this
application.
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Signature of Applicant Date
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