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- , CITYOFBLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Applica (402) 426 -419'1 - Phone
N (402) 426 -4195 - FAX
MS -20'14 -00586 � ° miss Q� Ua www.blairnebraska.org
06/26/2014 intern MISC Residential June 26, 2014
LOCATION OFIMPROVEMENT, 1734 Front St, Blair, NE 680.
ARCHITECT:
GENERAL Husker Roofing, Siding & Gutters
OV ER: David E Johnson CONTRACTOR_ 9001 Arbor Bt
OMAHA, NE 68124
1734 Frnt St
BLAIR, NE 68008 -0000
F TURE OF WORK STRUCTURE
Storm Repair Primary Commercial
PROJECT NAME PERMIT EXPIRES 06/25/
1734FrontSt- 140625 -2014 Storm Damage
ESTIMATED COMPLETION DATE 12/31/2014
DESCRIPTION OF WORK
Roofing and siding
DEPOSIT PAID BY: SITE PLAN SUBMITTED. NA
Contractor
REScheck /COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
$50
y
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 o f
8uil ' ffioial, shall Constitute sufficient routed for the rev o ca tion r char e from this app lication wit hout
pp I of the
fact with or without the intention of the undersigned or an alteration o
g of any permit which was based on the approval of this
plic ion.
Signat a of Applicant Date