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709 (2).tif t I Jul 0214 01:57p Midwest Homes, LLC 4025058265 p.1 I CITYOFBLAIR 218 S.16TFI STREET BLAIR, NEBRASKA 68008 U ]r {402) 426 -4191 :;,; _ +. pplicatio Phone - - - - - - '� i . (402) +426- 4195 -FAX MS-2014 `��, 01 www.blairnebraska.org 0710212014 MiSC Residential July 2, 2014 '�.. LOCA RONOFIMPROVEMENT: 637 N 2nd St, Blair, NE 68008 ARCHITECT: GENERAL Midwest Hornes, L.LC OwNEF2 Phil And Heather Mead CONTRACTOR: "10605108th St Weeping Water, NE 68463 637 N 2nd St BLAIR, NE 68008 -0000 � • - ' - - � ' # :,F '"t7.� N .J ' <:4' ri a rei �I : NATURE OF WORK STRUCTURE Primary Residence Storm Repair PERMIT EXPIRES © 7141 f 2 o 1 B PROJECT NAME 637N2ndSt- 140702 -2014 Storm Damage ESTIMATED COMPLETION DATE 12131f2014 D ESCRIPTION OF WORK Roofing, gutters, siding DEPOSIT PAID BY SITE PLAN SUBMITTED: NA Contractor REScheck/COMcheckSUBMITTED: NA DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA i 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 f this building permit. It is further understood that construction covered by this permit application small 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 suffi tent ground for the revocation of any permit issued which was based on the approval of this application_ Jr Date Signature of Applicant