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CITYOF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
(402) 426 -4191 - Phone
B uilding Permit Application
(402) 426 -4195 - FAX }
MS- 2014 -00590 Ise of a Jd``
www.blairnebraska.org
1 06/26/2014 MISC Residential June 26, 2014
ro LOCATION OF IMPROVEMENT: 1460 Hwy 30, Blair, NE 68008
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ARCHITECT:
® GENERAL Donald Andersen
OWNER: Scott J And Dam, Karna Anderson CONTRACTOR: 410 Co Rd M
®` Oakland, NE 68045
3o 1460 s Hwy
BLAIR, NE 68008 -0000 I
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NATURE OF WORK STRUCTURE
Storm Repair Primary Residence
PROJECT NAME
PERMIT EXPIRES 06/25/2016
1460Hwy 30- 140626 -2014 Storm Damage ESTIMATED COMPLETION DATE 12/3112014
DESCRIPTION OF WORK j
Roofing, siding, gutters
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DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheckSUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
DOWN
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1. No work will be started before a permit is ISSUED AND POSTED.