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CITYOFBLAIR r
218 S. 16TH STREET
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BLAIR, NEBRASKA68008
Building Permit 1 (402) 426 -4191 - Phone
9 ,• ��� (402) 476 -4195 -FAX
-201 - 0681 a � ° �hise of a pp`` www.blairnabraska.org
NIEMEN= MEN
06/27/2014 MISC Residential June 27, 2014
LOCATIONO 8876 Co Rd P35, Blair, NE 68008
ARCHITECT:
t GENERAL Valley Boys, Inc.
CONTRACTOR:
,. OWNER: Proksel John D and Julie E Trust 10547 Bondesson Cir
Omaha, NE 68122
8876 Co Rd P35
BLAIR, NE 68008 -0000
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NATURE OF WORK S1'RUC°TURE
Storm Repair Primary Residence
PRO JECT PERM EXPIRES 0612612016
8876Co Rd P35 - 140627 -2014 Storm Damage 12/31/2014
ESTIMATED COMPLETION DATE
DES CRIPTI ON
Roofing, gutters, siding, garage door, interior
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheck SUBMITTED: 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.
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 codes /ordinances 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 s t ground for the revocation of any permit issued which was based on the approval of this
plication.
'ig ture of Applicant Date