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485.tif 1 i i PITYQFBLAIR 218 S. I STH STREET BLAIR, NEBRASKA 88008 B uilding Permit Application (4a2) 426 - 4191 - Phone www.blairnebraska.org k 06/2312014 intern Miss Residential 7 dune 25, 20'14 LOCATIONOFIMPROVEMENT: 1 159 Mapl Dr, B NE 6808 � ARCHfrECT: . GENERAL Dr Exteriors, LL C OMER, Ronald E And Luella M Jenkins CONTRACTC ' 6612 N 96t St OMAHA, NE 68134 1159 Maple Dr BLAIR, NE 68008 -0000 NATURE OF WORK STRUCTURE Storm Repair Primary Residence PROJECT NAME PERMIT EXPIRES 06/2212016 1159MapleDr 140123 - 2014 Storm Damage ESTIMATED C OMPLETION DATE 12131/201 DESCRIPTION OF WORK Re -root, siding, gutters, windows DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA Contractor REScheck/COMcheckSUBMITTED: NA DEPOSIT STATUS: BUILDING PLANS S UBMITTED: NA $60 M 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 e 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 invention of the undersigned or any altoretion or change from. this application without approval of the Building Official, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this application. s L � -- - 2 Signet of Applicant Date i I TO 39VJ E�JDI331X3 �IQ LL869I6Z0V V9:80 t TOZ /9Z/90