570.tif CITYOF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
_3 x � ' ` ' i i I 1 Permit (402) 426 -4191 - Phone
9 � (402) 426 -4195 - FAX
MS -2014 -00570 ;se o a� ° �� www.blairnebraska.org
06/25/2014 MISC Residential June 25, 2014
LOCATION OF IMPROVEMENT: 13363 Spring Ridge Loop, Blair, NE 68008
'k ARCHITECT: GENERAL Triton Exterior
OWNER: Jay G And Joni L Stewart CONTRACTOR: 1625 N 203rd St
:t ELKHORN, NE 68022
o- 13363 Spring Ridge Lp
BLAIR, NE 68008 -0000
NATURE OF WORK STRUCTURE
Storm Repair Primary Residence
PRO JECT NAM PERM I 06/2412016
13363Spring RidgeLoop- 140625 -2014 Storm
ES TIMATED L TI N DA 12131/2014
Damage
DESCRIP K
Roofing, siding, gutters
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 Pthout the intention of the undersigned or any alteration or change from this application without approval of the
Build'n Official, s "constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
ap_.
Signature of Applicant D e