MS-2014-01450_0001.tif CITYOFBLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA68008
Building Permit Application (402) 426 -4191 -Phone
(402) 426 -4195 - FAX
MS -2014 -01450 �� of Q ua\` www.blairnebraska.org
07/18/2014 MISC Residential July 18, 2014
t
ry LOCATIONOFIMPROVEMENT: 908 N 26th Ave, Blair, NE 68008
k
AFiCHI CECiT:
GENERAL Home Pride Contractors, Inc.
OWNER: Kevin R And Debra A Harris CONTRACTOR: 5202 "Q" St
Omaha, NE 68117
r; 908 N 26th Ave
BLAIR, NE 68008 -0000
NATURE OF WORK ST'RUC'TURE
Storm Repair Primary Residence
PROJECT NAME PERMIT EXPIRES 07/1712016
- I
908N26thAve- 140718 -2014 Storm Damage 12/31/2014
ESTIMATED COMPLETION DATE
DESCRIPTION OF WORK
Roof, gutters, siding
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
d C r � 4 s - < . s >til � u� � 'fir �h'f < f iz +�' i+` � � .� Jf - �, i � �'_; 3 • ' ". a ,!
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 with or without the intention of the undersigned or any alteration or change from this application without approval of the
Buildg Offic' 1, shall ns tute sufficient ground for the revocation of any permit issued which was based on the approval of this
I' ation.
"-)- L(
Date
510na ure f !cant
I
i