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CITYOFBLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Buil Permit Applic
(402) 426 -4191 -Phone
9
� (402) 426 -4195 - FAX
MS- 2014 -00576 Ise of a` www.blalrnebraska.org
06125/2014 MISC Residential June 25, 2014
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LOCATIONOFIMPROVEMENT: 622 S 16th St, Blair, NE 68008
� ARCHITECT:
GENERAL Quinn Siders
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V OW CONTRACTOR: OWNER: Harmony Properties, Llc 3314 Decatur St
OMAHA, NE 68111
1852 Grant St
BLAIR, NE 68008 -0000
NATURE OF WORK STRUCTURE
Storm Repair Primary Residence
PROJECT NAME PERMIT EXPIRES 0612412016
622S16thSt- 140625 -2014 Storm Damage
ESTIMATED COMPLETION DATE 12/3112014
DESCRIPTION OF WORK
Roofing and siding
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
RESc heck/CO Mcheck 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'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 j
fact with or without the intention of the undersigned or any alteration 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
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ignature of Appliciint Date