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MS-2014-01899.tif i i F CITY OF BLAIR 218 SJ 16TH STREET :_ BLA10, NEBRASKA 68008 Building Permit Application (402) . 28.1191 - Phone z L ' ( 402) 26-4195 - FAX 408110412;014 . rs www.plairnebraska.org lairnebraska.org C MISC Residential J August 4, 2014 i LOCATIONOFIMPROVEMEtM 134+45 Cord 26, Blair, NE 68008 C D ARCHITECT: GENERAL. Hometown Roafing, In . D OWNER Jaynes P And Linda J Rogge OONTRAC'OR: 13316 Millard Ave I 26'13446 Co Rd Omaha, NE 68137 j BLAIR, NE 68008 -0000 CHCTEISTICS ` M + - OF,-WOW -SELECTED NATURE OF WORK STRUCTURE Storm Repair Primary PROJECT NAME PERMIT EXPIRES 08103/2016 13445Cord 26440804 -2014 Storm Damage ESTIMATED COMPLETION GATE 12131/2014 I E DESCRIPTION OF WORK Reroof and siding i I i DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA Contractor REScheck/COMcheck SUBMITTED: NA DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA $50 I 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 Mars al'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 n - 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 specificat ons 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. Signature of Applicant atg i Z aged XUJ 13rNEISU I dH Wdir©= is -b, 10a i,o 2nd i