507.tif CITYOF BLAIR
-�- 218 S. 16TH STREET
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BLAIR, NEBRASKA 68008
(402) 426 -4191 -Phone
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B uilding Permit Application (402) 426 -4195 - FAX
www.blairnebraska.org j
MS- 2014 -00507 p '��; Se a , a�
06/24/2014
MISC Residential �� �June 24, 2014
m LOCATIONOFIMPROVEMENT: 1422 Prospect Ave, Blair, NE 68008
0 ARCHITECT: GENERAL Valadez & Sons
CONTRACTOR: 5805 Hartman Ave
OWNER: Robert J And Marla J Ryan
Omaha, NE 68104
1422 Prospect Ave
BLAIR, NE 68008 -0000
1 7 777
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F WORK STRUCTURE
NATURE O
Primary Residence
Storm Repair
PERMIT EXPIRES 06/23/2016
PROJECT NAME
1422ProspectAve- 1 40624- 2014 St ESTIMATED COMPLETION DATE 12/31/2014
Damage
DESCRIPTION OF WORK
Roof only
DEPOSIT PAID BY:
SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheckSUBMlTTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
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1. No work will be started before a permit is ISSUED AND POSTED.
For commercial permits, a set of plans for this project must be submitted to the Nebraska State and se tic syst o for review.
2. Fo p p
3. Separate permits are required for electrical, plumbing, heating, ve and
permit does not constitute issuance of
4. The undersigned owner or agent understands and acknowledges
this build in g 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.
i ned owner or agent agrees to perform the proposed work in accordance with the sp ss i o i n a of or me above and
5. The unders g of
in accordance with the codes /ordinances of the City of Blair and the State of Nebraska. Any omission
without approval of the
fact with or without the intention of the undersigned or any alter o r ermigsued which was based on the approval of this
Building Official, shall constitute sufficient ground for the revocation any p
application.
Date