844.tif i
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CITYOF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building I App (402) 426 -4191 - Phone
(402) 426 -4195 - FAX
MS- 2014 -00844 Ise of a� www .blairnebraska.org
07/03/2014 MISC Residential July 3, 2014
^ =s LOCATION OF IMPROVEMENT: 2160 Crestridge Dr, Blair, NE 68008
� ARCHITECT: GENERAL Buckshot Exteriors
r OWNER: Clifton O Jr And Belinda A Thrash CONTRACTOR: 4622 S 85th St
OMAHA, NE 68127
2160 Crestridge Dr
BLAIR, NE 68008 -0000
1 yk r
NATURE OF WORK STRUCTU
Storm Repair Primary Residence
RJECT a4 PE RM IT E 07/02/2016
2160CrestridgeDr- 140703 -2014 Storm
E STIMA TE D COM DA 12/31/2014
Damage
DESCRIPTION F WORK
Roofing
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
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 without the intention of the undersigned or any alteration or change from this application without approval of the
Building Official, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
applieafiPn.
Ll
Date
Signature of A icant