MS-2014-01496_0001.tif I
CITYOF BLAIR
218 S.16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Application (402) 426 -4191 -Phone
b (402) 426 -4195 - FAX
MS- 2014 - 01496 °�, °, a �° www. blairnebraska.org
07/21/2014 MISC Residential July 22, 2014
LOCATIONORMPROVEMENT: 951 -961 N 16th St, Blair, NE 68008
£ ARCHITECT: GENERAL Home Pride Contractors, Inc.
OWNER: Baronage Town Homes CONTRACTOR: 5202 "Q" St
Omaha, NE 68117
951 N. 16th St
Blair, NE 68008
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NATURE OF WORK STRUCTURE
Storm Repair Primary Residence
PROJECT NAME
PERMIT EXPIRES 07/20/2016
951- 961N16thSt- 140721 -2014 Storm Damage ESTIMATED COMPLETION DATE 12/31/2014
DESCRIPTION OF WORK
Roof, siding, gutters
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DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheckSUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
I
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 f
this building permit. It is further understood that construction covered by this permit application shall not be commenced until
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 an
in accordance with the codes /ordinances of the City of Blair and the State of Nebraska. Any omission of or misrepresentation f
fact with or without the intention of the undersigned or any alteration or change from this application without approval of th
Building Official, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of thi
4 Signture ation
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Dat
of Ap plicant