MS-2014-01667_0001.tif CITYOFBLAIR
2 18 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Application (402) 426 -4181 - Phone
yA� (402) 426 -4195 - FAX
MS -2014 -01667 �n,is of Quo www.blairnebraska.org
07125/2014 i Residential July 25, 2014
" LOCATIGNOFIMPROVEMENT: 1347 S Hwy 75, Blair, NE 68008
ARCHITECT:
��' GENERAL Pyramid Roofing
OWNER; Michael S And Brust, Sue E Long CONTRACTOR:
1504 S Saddlecreek Rd
751347 s Hwy Omaha, NE 68106
BLAIR, NE 68008 -0000
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NATURE OF WORK STRUCTURE
Storm Repair Primary Residence
PROJECT NAME PERMIT EXPIRES 07/24/2016
1347SHwy 75- 140725 -2014 Storm Damage
ESTIMATED COMPLETION DATE 12131/2014
DESCRIPTION OF WORK
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Roof
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheckSUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
$50
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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 wit he codes /ordinances of the City of Blair and the State of Nebraska. Any omission of or misrepresentation of
fact with or with ut th intention of the undersigned or any alteration or change from this application without approval of the
Building Official, shall onstitute sufficient ground for the revocation of any permit issued which was based on the approval of this
p ication.
Signature oi4pplica n Date
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