MS-2014-00665.tif t
CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Application (402) 426 -4191 - Phone
MS- 20'14 -00665 9 0 ,,a (402) 426 -4195 - FAX
fi�s of a www.blairnebraska.org
06/27/2014 MISC Residential June 27, 2014
LOCATION OFIMPROVEMENT: 960 N 24th Ave, Blair, NE 68008
ARCHITECT:
GENERAL Dr Exteriors, LLC
OV\MER: Joseph A And Julie Ann Peare CONTRACTOR: 5612 N 96th St
960 N 24th Ave OMAHA, NE 68134
BLAIR, NE 68008 -1021
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NATURE OF WORK STRUCTURE
Storm Repair Primary Residence
PROJECT NAME PERMIT EXPIRES 06/26/2016
960N24thAve- 140627 -2014 Storm Damage
ESTIMATED COMPLETION DATE 12131/2014
DESCRIPTION OF WORK
Roofing and gutters
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
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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 j
fact with or without the intention of the undersigned or any alteration or change from this application without approval of the
Building fficial, shall constitute sufficient round for the revocation of an
g g y permit issued which . was based on the approval of this �
application.
SEgnatu of Applicant Date
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