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R u ilding PermitApplication
J4102) 426-4195, - FAX
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LIXATIONC f 044M ' 2357 Clark St, Muir, NE 68008
E�Nl�kN_ Valley Boys, Inc-
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Omaha, C.11. 681
2357 Clark St
BLAIR, NE 68008
NATURE OFWORK STRUCTURE
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PROJECT NAME PERMIT EXPIRES 07A112016
23577 -10 *1440714 -201 1 S #omi Duerr,
DESCRIPTION iOF WORK
DEPOSIT PAID ffY: ,SITE, PLAN SULEI ECG: P
RESch"WCOMcheck SUBMITTED! NA
IDEROSIT STATUS,: BUILDING VLANS SUBMITTED: NA
1. Nowrffk will t, �* before a pF-7 a ,18 AND POSTED
. I=Or c® . ;�l perrnit�, u uol of plena for this; prc�jc st m-,3. he sijbmit ,-d Ple tt M Nebraska :rtat " Firc 10ar-shal"s. Office. for r e, , vierw,
3. Separate per t,: cco� roquired for elec1ri,�il, ,plu mVng, healing, vPntlhnlir ua� �.i air evraditic�nir,q �r��l G� ptic •ysterh.
4. T ho and -br -signed aimef or -,%Oo t ur. derstandr. and ackini '6.`jodges this hL C, Oo mil applr9veatinn doct9 not conslilule iFisuance of
tlahA building permit, I# i;; I'urlt ur ndersvt cKicl ll `at : ark tr GL r v r d hL "�` Il i�� px=it ;� I�ia=ition shtoll riot he comma- r_ e until u
emit ai. �a -.d fyy tttti Building In pectoe i4i ice. u i
fir. Thy n re ar r m�rtL r u r agent qqfce, Ie, purform - the prq a scl wt . V, i accaTda nv(t tmlh Ric s eer .ati a� ��4 C fa�� tli �t�u�a� �n
In sc; crdanoe V0741 h the of the City of B. ir a ni Uiti State of Nebra._;ka Any omissi on raf or rr isNpTuGentalion of
fact !��ilh or wilhout the Inte tt nrz of 1.ta -01 undersigned or .7,my ciaoruli'on or ehan.p ha_`ftj rhie� applicalion wilt'out uppruval of the
u€ lino 0 flicial, uhall con -FA LJ_' scUffle$�!(if grourW for the rkeA)t otion of any ,:hermit isvavod voinieh wra,, h _f-d (:fi It v: zipproval of 1hin
ftnmtun of Appkcant Mac
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