1627.tif i
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E� i TH STREET
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L KP40rIF -Pia +'tiesit=NC 2046 CojfoX St, 13Lair, NE GBM
V'al'ley 8oy!q�, lnf ;.
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(AM- Ann M Kirby
1 0547 Bt nduiso t Cir
. s 2046 Colfax St Omaha, FEE 6SI
BLAI R, NE 00B -i
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FEATURE OF 0 — STRUCTURE
sir Repair
Primary Residen
PERMIT EXPIRES,
PROJECT NAME
Q41&G IfbxS -t -11 40724-2014 Stamm nomii u
ESTIM ATED 'MPLE ON DATE 12f31 ?20,-14 s
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DESCRIPT OF WORK
QtA, diibig, gutters
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DEPOSI[T PAID BY! SITE PLAN SUBMITTED - ,
ESch -ec =filichock SUBMIri NA
DEPOSIT IT T T : BUILL ING CLANS Up- PAITTE : NA
t o work will W- started bcfcrm a pern-it i�p 1$$U f AM POSTE.
2. F w tammeri ial permit, .a st3t of plwii thi_. per , r - O m ust bo to the Net�r � sv ` lato Fire Mars.1iii Office foe reoview.
3. Separate pemtft aic reqUIred tsar c1cictrical, plumbing
4. Tho ur orsigned oviner or agant rur dr tsWnds and ar nomfiMf r—, 1R.i.- bu -ding peri app i Wring dws not constitui I
building permit- 11 is firmly r' wid r-t d that ��nsli ctioo. wvurccl by this perriiii oppl uati i shall not bF rx- n ill iur 11 ,u
copy or a permit signed by the k ii lr: inn inspector is Iy r .
, The unden nt A cminot or agent agrees, tr, ,r fofti i 11v p osed wark. in �� r�or(Jaile. J �Mlh the sp fk i it ;, � r a1:0 and
in : c Or�1.. i�,41 tri-o ci,3eslordinanoes 0 the ty ol' F�iair and the ��ts�t� of i� �r�mka. �� ��mi�r,ir�ri Of or rrii�r�1 ei;entation of
fact wilti or ait the. [nteritan of d iinde(6rpvfj it any a[teretior w 0 icnigo [Tom this. applic. w ithout approval of tlx:
But die rg (ffir;:ial, ati all mrstib-ate sufficient gro tir` i f or 'Vii revocation of amy pe -fmit b� sucd vih- inch a�:��. l ',cv1rj cm fto approval of thin
alpplirmicjIn "
Signattim af .Appbcant t�
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