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211 S -10TH ST REET
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Ef � Buildi g Permit Applica 4iMl142 &4191 - FPh�r�o
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I cxv , 1 *fit FImpf'v'ni[m 948N 281th St, Whir, NE 008
Valle; Bay.% Inc.
'JOXER• Pa trick M And Maria Doughir,rly
10547 Uundes,-on Gir
948 N i
8tFr St Ornaha NE 6LI1
BLAIR, NE 6860M000
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PROJECT NAME PERMIT F— Pl fES tJ712912016
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948kl 3thSt -140T 072014 Sturm homage
ESTIMATED COMPLETION DA E 1 !12(114
DE RIP'TPON OF WORK
Roof
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OEPOSI ' PAHI BY: SITE PLAN SUBMITTED: NA
Contractor
RE$cbecWCOW-hock SUBMITTED, NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: ANA
t: No watk 1 -add be :Marled a peat":.# is U&SUED AN() P'D37ED_ -
2. Fri' eo mmarcial pormits, a Fipt of Wans for this pruiect rm -t W submit t: to We Netw- okt 'Mate Fire Marshal's Offiee fu rev[aw. �
a, S- pttrale PernlitS urc r€qufr€cl for cle tricAl, rxlumtaing, heotirieg, v ntila inn ; tmd air conrlitrtttr;ing, ono t4plii syrst¢rn.
. The under.- siignad owner or agent undomiand- and acknowiMtjci; Lhis building permit a pl r�lion de'las nut c=Wksto iusuari' of llv!� b0dfng permit, It is furthir urideTs - load
inCit c -tstrud ticx) euvered h rhi errrt t lica�r,n s4,111 r c+t h rrtrrt� rr d until r,
copy of a permit signe -d by the Buir�tir Inspectoe is i sued_
5. `ITho unadrrrF ;i cn,vner or *Ejort agreeF. to pUrrorm the pr rimed wrvR rat acco7dat'ca w4th tl qDr - ticn f&Ah .al�,%�r- �rirr
irr a- con;fanoe with the r:adcs;ardinan- of dhe CitV of (31uir and the Stutc of Ni r-r4U. Any ot'nission -of or miu�rcpcese tntiorr Hof
fact 'Wth of Yvilhout the €ntunrion of lKe undersigns -d ur any after-ol on or chafjt or from thf;; application without approval of ft
Bufldirrg :fti ia1, shall ffiruAiuLe. suffi ent ground for It e. revocation Or any pern issued vhlinri ivao based cwj M . apprc{ f cif Ibis
apralicadi7in
Sigmaare or Applicant Croat .
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