707 (2).tif Jun 3014O4:52p Midwest Homea.LUJ 4025058285 p.1
C[r/QFBLmR
2nmS.16TH STREET
81-MR, NEBRASKA 68008
(402) 426-4191 - Phone
Building Permit Application
MS-2014-00707 /48,01 www.blaimebraska.org
06f3012014 MISC Residential June 30,2014
ucCAnomor|MpRcmEMEmr291oRavae Ln.Blair, NE 68008
PRCnmECT:
msNepAL Midwest Homes, LLC
c»mme�� »mmthmnyJ And �kmh|ey��J�mdmmmem Ku|t rx�wo�«cm�o� ��������t���
Weeping Water, NE 60463
2912RavawLm
E0LA|R, NE68OM8'OOOD
NATURE OF WORK STRUCTURE
Storm Repair Primary Residence
PROJECT NAME PERMIT EXPIRES 0612912016
2912RavaeLn-140630-2014 Storm Damage ESTIMATED COMPLETION DATE 12J3112014
DESCRIPTION OF WORK
Roofing, siding, gutters
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
DEPOSIT STATUS: BUILDING PLANS SUBIVIIITTED: NA
1. No work will bm started before a permit io ISSUED AND POSTED.
2. For commercial permits, a set of plans for this project must be submitted to the Nebraska State Fire Marshal's Offioefor review.
3. Separate permits are required for e|mo±dcm|, p{umb|ng, heatng, ventilating and air oonditioninQ, and mapt|m 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 m
copy ofapermit signed by the BmUdIng Inspector iaissued.
5, The undersigned owner or agent mQmyem to perform the proposed work in accordance with the specifications set forth above and
in accordance with the codestondinancea of the City of Blair and the State of Nebraska. Any omission of or ,mhsnepnmmmnbmdmn of
fact with or vALhmui the intention of the undersigned or any alteration or change from this applica without approval of the
Build ffidm| hsd) constitute sufficient ground fortherevocat|onofmnypennitimouodw/hichwmebaaedonthmapprovm|mfih10
app
Si of Applicant Date