MS-2014-00796_0001.tif CITYOF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
° Building Permit Application (402) 426 -4191 -Phone
(402) 426 -4195 -FAX
MS- 2014 - 00796 °° °, a www.blairnebraska.org
07/02/2014 ShellyJ MISC Residential July 2, 2014
LOCATIONOFIMPROVEMENT: 1141 Stillmeadow Cir, Blair, NE 68008
ARCHITECT:
' GENERAL Huber Builders, LLC
OWNER: Ryan And Brenda (morgan) Schroeter CONTRACTOR: 2010 Fieldcrest Dr
Blair, NE 68008
1141 Stillmeadow Cir
BLAIR, NE 68008 -0000
NATURE OF WORK STRUCTURE
Storm Repair Primary j
PROJECT NAME PERMIT EXPIRES 07101/2016
1141StilimeadowCir- 140702 -2014 Storm 12/31/2014
Damage ESTIMATED COMPLETION DATE
DESCRIPTION OF WORK
Reroof with aspahlt shingles
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DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
$50
MY I WIN
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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
Building Official, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
application.
-7 ® 2 -/
Date
Signature of Applicant
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