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20140715092741622_0013.tif i CITYOFBLAIR 218 S. 16TH STREET ry= BLAIR, NEBRASKA 68008 I wilding Permit Application (402) 426 -4191 -Phone (402) 426 -4195 - FAX MS- 2014 -01183 is o1 a� ° www.blairnebraska.org I MMM 07/11/2014 pcgreen MISC Residential July 11, 2014 LOCATION OF IMPROVEMENT: 415 E Baronage Dr, Blair, NE 68008 ARCHITECT: GENERAL McCaig Construction Inc. 01 CONTRACTOR: OWNER: Peggy A Lantry 1070 James Dr �- > 1� Wj Blair, NE 68008 415 E Baronage Dr BLAIR, NE 68008 -0000 h c ^ NATURE OF WORK STRUCTURE Storm Repair Primary residential PERMIT EXPIRES 07/10/2016 PROJECT NAME 415EBaronageDr- 140711- 2014 Storm ESTIMATED COMPLETION DATE 12/31/2014 Damage DESCRIPTION OF WORK Roof, gutters, siding DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA Contractor REScheck/COMcheck SUBMITTED: NA DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA $50 .gin.. -,? °. 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 application. 6 ate Signature of Applicant