833.tif i
CITYOF BLAIR i
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
(402) 426 -4191 - Phone
Building Permit Application ( ) 426 -4 !
r 402 195 - FAX
www.blairnebraska.org
MS- 2014 -00833 p � ° fiIse of a��
r
07/03/2014
MISC Residential July 3, 2014
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LOCATION OF IMPROVEMENT: 2032 Northridge Cir, Blair, NE 68008
ARCHITECT: GENERAL Absolute Roofing I
CONTRACTOR: 17330 W Center Rd Ste 110
OWNER: Mark A And Kay L Dickinson OMAHA, NE 68130
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2032 Northridge Cir F
BLAIR, NE 68008 -0000
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NATURE OF WORK STRUCTURE
Primary Residence
Storm Repair j
PERMIT EXPIRES
07/02/2016 �
PROJECT NAME
2032NorthridgeCir- 14 0703- 2014 ESTIMATED COMPLETION DATE 12/31/2014
Damage
DESCRIPTION OF WORK
Roofing
DEPOSIT PAID BY:
SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheckSUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
w
s PR
1. No work will be started before a permit is ISSUED AND POSTED.
For commercial permits, a set of plans for this project must be submitted to the Nebrask onin and se t c sy stem
O for review.
2. Fo p p
3. Separate permits are required for electrical, plumbing, heating�vestthisnb and
permit t' applgation does not constitute issuance of
4. The undersigned owner or agent understands and acknowledges application shall not be commenced until a
this building permit. It is further understood that construction covered by this permit app
copy of a permit signed by the Building Inspector is issue d
rsi ned owner or agent agrees to perform the proposed work in accordance with the m omission of or mesrepresentation
5. The unde g
in accordance with the codes /ordinances of the City of Blair and the State of Nebraska. Any royal of the
fact with or without the intention of the undersigned or any alteration or e mig sued which app
s was
on the approval of this
Building Official, shall constitute sufficient ground for the revocation of any p
application.
Date
Signature of Applicant