1583.tif CITYOF BLAIR
218 S.16TH STREET
BLAIR, NEBRASKA 68008
4 ], (402) 426 -4191 - Phone
B uilding Permit p
A lication �
(402) 426 -4195 - FAX
MS-2014-0i 103
/se of a www.blairnebraska.org
Bill
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i
a e
07/23/2014 MISC Residential July 23, 2014_
a LOCATIONOFIMPROVENIENT: 2364 Jackson St, Blair, NE 68008
� ARCHITECT:
GENERAL Home Pride Contractors, Inc.
OWNER: Ronda Diane Dryden ! CONTRACTOR: 5202 "W St
Omaha, NE 68117
2334 Jackson St
BLAIR, NE 68908 -0000
W , `° +
Is ME
9
NATURE OF VVQRK STRUCTURE
Storm Repair Primary Residence
PROJECT NW.
PERMIT EXPIRES 0712212016
2 140723 -2014 Storm Damage ESTIMATED COMPLETION DATE 12/3112014
DESCRIPTIO'N' WOR
Roof, gutters,!sId5ing,
DEPOSIT PAID BY: � SITE PLAN SUBMITTED: NA
Contractor I
REScheck/COMcheck SUBMITTED: NA
DEPOSIT STATUS, BUILDING PLANS SUBMITTED: NA
3
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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 with the codes /ordinances of the City of Blair and the State of Nebraska. Any omission of or misrepresentation of
fact ith or without intention of the undersigned or any alteration or change from this application without approval of the
Bui ing Official, ail c stitute sufficient ground for the revocation of any permit issued which was based on the approval of this
ap lication.
Sign of A r;t Date
i