MS-2014-01349.tif i
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CITYOF BLAIR
° 218 S. 16TH STREET
BLAIR, NEBRASKA 68008
®
U M A R - (402) 426 -4191 - Phone
_�� Building Permit
(402) 426 -4195 - FAX
MS- 2014 -01349 Ise of auk\` www.blairnebraska.org k
07/17/2014 MISC Residential July 17, 2014
N LOCATIONOFIMPROVEMENT: 1079 N 25th Ave, Blair, NE 68008
® ARCHITECT: GENERAL Global R and C, LLC
OVVNER: Richard L And Sharon J Trustees Everhart CONTRACTOR: 6721 NW 6th St
LINCOLN, NE 68521
18 15136 Co Rd
BLAIR, NE 68008 -0000
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NATURE OF WORK STRUCTURE
Storm Repair Primary Residence
PROJECT NAME PERMIT EXPIRES 0711612016
1079N25thAve- 140717 -2014 Storm Damage 12/31/2014
ESTIMATED COMPLETION DATE
DESCRIPTION OF WORK
Roof, gutters, siding
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
RES check/CO Mcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
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MI A 8
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 fficial, shall stitute sufficient ground for the revocation of any permit issued which was based on the approval of this
applicati n
Signature of Applicant Date