MS-2014-00621_0001.tif ~ CITYOFBLAIR
s 218 S. 16TH STREET
71 ' BLAIR, NEBRASKA 68008
UII 611 rlTel Application (402) 426- 4191 - Phone
MS 2014 - 00621 a lo o`` 402} 426 -4195 -FAX
teIse ot " www.blairnebraska.org
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06/26/2014 MISC Residential June 26, 2014
LOCATIONOFIMPROVEMENT; 1349 Prospect Ave, Blair, NE 68008
ARCHITECT:
GENERAL. 'TIC Remodeling & Home Repairs
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OWNER: Jeffery A And Janet Lee Mount CONTRACTOR: 3728 Crown Point
OMAHA, NE 68111
1349 Prospect Ave
BLAIR, NE 68008 -0000
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NATURE OF WORK STRUCTURE
Storm Repair Primary Residence
PROJECT NAME PERMIT EXPIRES 06/ 25 /2016
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1349ProspectAve- 140626 -2014 Storm
Damage ESTIMATED COMPLETION DATE 12/31/2014 �
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DESCRIPTION OF WORK
Re- roofing and gutters
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheckSUBMITTED: 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 codeslordinances 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.
>ignature Of Appli { Date