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CITYOF BLAIR
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218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Application (402) 426 -4191 -Phone
(402) 426 -4195 - FAX
MS- 2014 - 00368 a, o Ise of a �\\ www.blairnebraska.org
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06/16/2014 MISC Residential June 16, 2014
NOFIMPROVEMENT:
LOCATIO 1103 S 16th St, Blair, NE 68008
ARCHITECT: GENERAL Jim Sandvold (Rentals)
® OWNER: James L And Gracia L Sandvold CONTRACTOR: 565 S. 3rd Ave
1103 S 16th St Blair, NE 68008
BLAIR, NE 68008 -0000
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NATURE OF WORK PROPOSED USE
Storm Repair Primary Residence
PROJECT NAME PERMIT EXPIRES 06/1512016
1103S16thSt- 140616 -Storm Repair 12/31/2014
ESTIMATED COMPLETION DATE
DESCRIPTION OF WORK
Roof, gutters, siding
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.
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9 Fnr rnmmrarnini nPrmitR a RPt of nlans for this nroiect must be submitted to the Nebraska State Fire Marshal's Office for review.