440.tif CITYOFBLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
ui ng ermi pp ica ion
-4195 - FAX
(402)426
MS-2014-00440 www.blairnebraska.org
2014 bpeterse =MISC Residential July 31, 2014
LOCATION OF IMPROVEMENT: 2330-2334 Meadow Dr, Blair, NE 68008
ARCHITECT:
GENERAL Boettcher & Sons Co.
OWNER: Ruth E And Robert L, Trustees Gnuse CONTRACTOR:
434 E 8th St
6515 Co Rd 9 Fremont, NE 68025
ARLINGTON, NE 68002
t E NE
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NATURE OF WORK STRUCTURE
Storm Repair Primary
PROJECT NAME PERMIT EXPIRES 0713012016
2330-2334MeadowDr-1 40619-2014 Storm ESTIMATED COMPLETION DATE 12/31/2014
Damage
DESCRIPTION OF WORK
Reroof asphalt shingles, siding on west and north sides
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Bob Gnuse
REScheck/COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
$50
- 09 - 111�1 ME - M -=A
90
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 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
Buiii d�ing Official, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
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a Ii ation.
&ate
Signature of Applicant