1080.tif i
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" r CITYOFBLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Application (402) 426 -4191 -phone
MS- 2014 -01 080 �' (402) 426 -4195 - FAX
0 '�' =e 01 °`'� www.blairnebraska.org
07/10/2014 ` MISC Residential July 10, 2014
y LOCATIONOFIMPROVEMENT: 9889 Cord 29, Blair, NE 68008
ARCHITECT:
GENERAL
Madelyn K And Charles L Gleeson CONTRACTOR; 52Q2�' pride Contractors Inc.
OWNER: '
Ct St
Omaha, NE 68117
29 9889 Co Rd
. BLAIR, NE 68008 -0000
NATURE OF WORK STRUCTURE
Storm Repair Primary Residence
EXPIRES 07/09/2016
PROJECT NAME PERMIT E
� I
9889Cord 29- 140710.2014 Storm Damage
ESTIMATED COMPLETION DATE 12/31/2014
DESCRIPTION OF WORK
Roof and gutters
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DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA ?
Contractor
I REScheck/CO Me heck SUBMITTED: NA
DEPOSIT STATUS. BUILDING PLANS SUBMITTED: NA
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
tact with or without the intention of the undersigned or any alteration or change from this application without approval of the
Building Official, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
application.
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Signatu a of Applicant Date