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CITYOFBLAIR j
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Application (402) 426 -4191 -Phone
MS- 2014 -00380 (402) 426 -4195 - FAX
�S of www.blairnebraska.org
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0ISC Residential June 17, 2014
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LOCATIONOFIMPROVEMENT: 715 N 31st St, Blair, NE 68008
3 ARCHITECT:
GENERAL R Davis Construction Inc
OWNER: Lisa L Heaton CONTRACTOR: 10685 Bedford Ave #100
715 N 31 Ave OMAHA, NE 68134
BLAIR, NE 68008 -0000
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NATURE OF WORK PROPOSED USE
Storm Repair Primary Residence
PROJECT NAME PERMIT EXPIRES 06/16/2016
715N31stSt- 140617 -2014 Storm Damage
ESTIMATED COMPLETION DATE 12/31/2014
DESCRIPTION OF WORK
Re -roof
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.
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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 Ticial, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
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atu a of Applicant ate