MS-2014-01359.tif i
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CITYOF GLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
— - ' . f 402 426 -4191 - Phone
-_; }.. Building Permit Application
(402) 426 -4195 - FAX
MS- 2014 - .01359 iSe o t a� www.blairnebraska.org
07/17/2014 MI SC Residential July 17, 2014
LOCATION OF IMPROVEMENT: 3015 Westridge Dr, Blair, NE 68008
ARCHITECT: GENERAL Heartland Easy Home LLC
rt` OWNER: Paul And Shirley E Emmerich CONTRACTOR: 130 W Broad St
STORY CITY, IA 50248
3015 Westridge Dr
BLAIR, NE 68008 -1011
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NATURE OF WORK STRUCTURE
Storm Repair Primary Residence
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PROJECT NAME
PERMIT EXPIRES 07/16/2016
3015WestridgeDr- 140717 -2014 Storm
Damage ESTIMATED COMPLETION DATE 12131/2014
DESCRIPTION OF WORK
Roof, siding, gutters, windows
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck /COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
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 buildin _g g g g 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
a !cation.
Sign ure of Applicant Date
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