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MS-2014-01816_0001.tif i ! CITYOF BLAIR 2188.16TH STREET BLAIR, NEBRASKA 6$D08 t -- Building Permit Application (402) 42 -Phone - - - = � - .. '�• (402) 426 6 -4196 -FAX MS- 201441816 ` .,, www .blairnabraska.org 07131/2014 MISC Residential July 31, 2014 LOCATIONOFIMPROVEMENT: 1064 Grant St, Blair, NB 68008 ARCHITECT: GENERAL Hometown Rooting, Inc. OWNER: Francis Rahlfs ©ONTRACTOR: 13316 Millard Ave 1064 Grant St Omaha, NE 68137 BLAIR, NE 68008.0000 NATURE OF WORK STRUCTURE Storm Repair Primary Residence PROJECT NAME PERMIT EXPIRES 07130/2016 1064GrantSt- 140731 -2014 storm Damage ESTIMATED COMPLETION DATE 1213112014 DESCRIPTION OF WORK Roof, gutters DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA Contractor ItESchecklCOM check 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 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 su ice t ground for the revocation of any permit issued which was based on the approval of this application. "41 /. Signature of Applicant Date T aged 2STfr9613:20t Xd3 131'N3Sd dH WdST : T irloa TO 2nd I