Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
685.tif
I I i I ur.. 27.. .2 1! 2:41'- CI — `i = 21AIi. (!Ql %:26. !191 o:3-0� F, CIVdr sLAIR 21 8.5. 1'6TH R'f R EE:T. BLAIR,N riEl ASKA68008. BuiIding per ADVOC361)n (402) 426 - 4191 - Phono v. t�' . .. (4021420.4198 -.FAX M.��2Q94- Q01~►13.5 . ra e ar•a� wtiyy,�.gtairnebrask$,b 06 1z7 rzr� d R+liS.c i2esiaential June 21, 2D1 LOGATIONOFIMPROVEMENT: 1030 N' 14tia•;at,.alalr,.NE 68008 AFc RTE r. 'GENEA United 5arvkdes of Amerlca r a %ER Richard E And Susan if Paulsen �ONTAACTOP. 3330 N 9041 Sat. 0m- aha,.ME 88134- 1035. - N 14th a# Bi_Allt, NE 6$008 -2724 SELECTED 4+ . W O RK NATURE OF WORK S RUCTU:RE Storm Repair Primiiry .Residenca PROJECT' NAME* KAMIT EXPIRES 06/26 103 5N 141hSt- 1 4 0 6 27 - 201 4 Storm :Dam age. ESTIMATE[? QQMPLETION OATE . 1213112014 Mt-CRIP11ON OF WORK Roofirig.,$idirtJ; �utt�rs I I DEPOSIT PAID BY! SITE 1?LAN'�UBb111.TTEl}: NA 'Con #ractvi' REScheckfOOM.chee.k-SUBMITTEt ) i NA OrcP J31T STATUS: BIJI.LaINt .PLANS SUBMITT1 =6: NA 1. No work will be Wore a•permif Ja.ISW( D AND POOTED.. 2. For cornrnercigl permits, a set of plans.fouthis prciecf must Do stibmii(ed fa the Nebraska Stafe.Fire Marshpl's.4ffibe.for reVew- 3:.Sepaeate permlls:are:required.for electtloal, plumb heating, venillating and air. conditioning, and saplic syEte-rri. 4.. The undersigned ownQr or. agent .understands and .acknowledges this: building perrnit application dbo.s not constitute issuance of this building pF rmlt. •lt:id. further under. &loo.'d.'lhat construction coVered by this. permit•applicatton shall not be commenced unfit -A copy of a p�rmfl signed by the Building *inspector is issued, 5-The undertigrted owner ar agent agroos fo perform the —proposed—work ih aw,6MGhce'vi1th specif itions set'forth �ab©l(a and in accordar= with the codes/ordinances of the Cly-of -Blair.and ihQ.•State of Nebraska: Any omissi6n of ar rriisreprt:senlalion of fact with of wlfhnuk Re intention of the undersigned or. :any - s1ter606.n- or change from this s¢plicallon without: approval :of the B�ttldin0 Gffrcial, shall conalilute- sufficient ground for We rev009t1an of any permit lanved which was based on the approval of This. application. 6 -27 -14 UA Signature of.. phcant _ i I i I