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347.tif � f i r t CITYOFBLAIR 218 S.16TH STREET J = BLAIR, NEBRASKA 68008 ° (402) 426 -4191 - Phone B uilding P erm i t Applica .s (402) 426 -4195 -FAX MS- 2014- 00347 � of � www.blairnebraska.org I 06/13/2014 MISC Residential June 13, 20'14 LOCATIONOFIMPROVEMENT: 2032 Colfax St, Blair, NE 68008 ARCHITECT: GENERAL Ragole Construction OWNER Charles E And Jennifer L Salsbury CONTRACTOR: 9721 Military Rd OMAHA, NE 68134 2032 Colfax St )� BLAIR, NE 68008 -0000 w M �3 a_ . - r 3� 7 -- � =- -!.'- .:"`ms's - '-- .. �s ..,ice=_• -ter :tea. a_: ,. s; = - _ �' 10 -- .�< Y �.: -� NATURE OF WORK PROPOSED USE Primary Residence Storm Repair I PERMIT EXPIRES 0611212016 PROJECT NAME 2032ColfaxSt440613- 2014Storm Damage ESTIMATED COMPLETION DATE 6/13/2014 DESCRIPTION OF WORK Roof, siding, and gutters DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA Contractor REScheck/COMcheck SUBMITTED: NA DEPOSIT STATUS: BUILDING PLANS SUBMITTED: -7 AMR m ' �$ I. No work will be started before a permit is ISSUED AND POSTED, 2. For cammercia! 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 c adeslordinances 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 without approval of the ing Official, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this ap ica 'o . < r ate gnature of Applica