Permit Application (12).tif i
CITYOF BLAIR
218 S. 16TH STREE
BLAIR, NEBRASKA 68008
B uilding Permit Application
(402) 426 -4191 - Phone
(402) 426 -4195 -FAX
MS - 2014 -00993 a ' °fiYse of www.blairnebraska.org
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07/08/2014 intern M I SC
Residential July 9, 2014
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x LOCATION OF IMPROVEMENT: 10998 Bridgeview Dr, Blair, NE 68008
ARCHITECT: GENERAL Joe Goeden Construction
µ OWNER: Layne D And Kristen L Beemer
CONTRACTOR: 1150 N 252nd St
WATERLOO, NE 68069
r 10998 Bridgeview Dr
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BLAIR, NE 68008 -1131
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NATURE OF WORK STRUCTURE
Primary
Storm Repair
PERMIT EXPIRES 07108/2016
PROJECT NAME
10998BridgeviewDr- 140708 -2014 Storm ESTIMATED COMPLETION DATE 12/31/2014
Damage
DESCRIPTION OF WORK
Reroof, siding, windows and gutters
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
$50
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1. No work will be started before a permit is ISSUED AND POSTED. to the Nebraska State Fire Marshal's Office for review.
2. For commercial permits, a set of plans for this project must be submitted
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
ange from this application without approval of the
fact with or without the intention of the undersigned or any alteration or ch
Building Official, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
appli io .
- C Date
Signature of licant