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T CITYOFBLAIR
218 S. 16TH STREET
i BLAIR, NEBRASKA 68008
(402) 426-4191 - Phone
Building Permit Application
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(402) 426 -4196 - FAX E
MS 2014 - 00686 ! ° fiis 01 . aa www.blairnebraska.org
- 7 06 1271 2 014 M ISC Res June 27, 2014
LOCATION OF IMPROVEMENT 2011 Soren Dr, Bla NE 68008
ARCHITECT; I GENERAL Global R and C, LLC 3
k f OWNER: Brian And Jennifer Bogdanoff CONTRACTOR' 6721 NW nth St
3 LINCOLN, NE 68521
2811 Soren Dr
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BLAIR, NE 68008 -0000
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I NATURE O F WORK STRUCTURE
Storm Repair Primary Residence
PROJECT NAME PERMIT EXPIRES 06/26/2016
I 2011 Soren Dr -14 627 -2014 Storm Damage ESTIMATED COMPLETION DATE 12/3112
DESCRIPTION OF WORK
Roofing, gutters, shutters
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DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheck SUB MITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
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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.
S. 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 j
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 codeslordinances 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
Building Official, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
appliggtion.
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Date
Signature of Applicant