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i i c Jun 27 2014 10:31 AM HP 4027345550 page 3 CITYOF BLAIR 218 S.16Tki STREET BLAIR, NEP 68008 = 0061 Building Permit Application (402) 4264191 - Phone ,i,V iV14 -0 ��fj�� }d�ti (4YL) 428-4196 FAX www.bialrhebraska.org 06!2612014 intern MISC Residential June 28, 2 ©1 LOCATIONOFIMPROVEMENT: 910 N 28th St, Blair, ; NE 613008: ARCWrrz( T: GENERAL Home Pride Contractors, In 0 OWNER: - Donald J And Mary. D Trabil CONTRACTOR: 8242 "07 St q 910 N 28th St Omaha NE 68117 BLAIR, NE 68008 -0000 NATURE OF WORK STRICTURE Storm Repair Primary Residence PROJECT !'NAME PERMIT EMPIRES 06!25!2096 91ON28thS.t~ *140626 -2094 Storm Damage. ESTIMATED COMPLETION DATE 12131/ ;014 DESCRIPTION OF WORK Roof DEPOSIT PAIL? BY: SITE PLAT SUBMITTED: NA Contractor RESchecWCOMchock SUBMITTED: NA DEPOSIT STATUS: BUILDINIS' PLANS SUBMITTED: $50 ; . NA 1. No work will be started before a permit is ISSUED AND POSTED. I 2. For commer4 al permits, a set of plans for this project must be submitted to the Nebraska State Fire Marshal's ice for review. 3. Separate permits are required for electrical, plumbing,. heating, ventilating and air conditioning,, and septic system; 4. The undersighed owner or agent understands and scknowledges this building permit application does not con$titute 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 per ht signed by the Building inspector is issued. 5, The undersigh'ed 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 pf Blair etid the State of Nebraska. Any omission of or misrepresentation of fact. wrath or mhthout the intention of the undersigne4 or any alteration or change from this application wlthoOt ,approval of the Building Offic;�l, shall constitute sufficient ground for the revocO'tion of any permit issued which was based on the approval of this app:' tio- 8igna of Applicant p i i