825.tif I
M CITYOF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008 _
- - Building Permit App cation (402) 426 -4191 -Phone
9
(402) 426 -4195 - FAX
MS- 2014 -00825 lse of a� ° www.blairnebraska.org
07/03/2014 MISC Residential July 3, 2014
LOCATION OF IMPROVEMENT: 2035 Northridge Cir, Blair, NE 68008
� ARCHITECT:
GENERAL Quality Home Exteriors
µ OWNER: John J And Judith A Ramsey CONTRACTOR: 11679 Todd Dr
Blair, NE 68008
r 2035 Northridge Cir
BLAIR, NE 68008 -0000
NATURE OF WORK STRUCTURE
Storm Repair Primary Residence
PROJECT NAME PERMIT EXPIRES 07/02/2016
2035NorthridgeCir- 140703- 2014Storm ESTIMATED COMPLETION DATE 1213112014
Damage
DESCRIPTION OF WORK
Roof, siding, gutters
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
r{
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
fart 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
ion.
Date
Si ure of Appli ��