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CITYOF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Application (402) 426 -4191 -Phone
(402) 426 -4195 -FAX '(
MS -2014 -01683 O `�n,� Se of a� www.blairnebraska.org I
07/28/2014 7 7hellyJ TM - IS C Residential July 28, 2014
d LOCATIONOFIMPROVEMENT: 1002 Flynn Dr, Blair, NE 68008
� ARCHITECT:
GENERAL D & M Construction
D OWNER: Roger W, Trustee Sailors CONTRACTOR:
! 3538 S 48th Ave
46 38338 Hwy OMAHA, NE 68106
LAKE ANDES, SD 57356 -0000
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NATURE OF WORK STRUCTURE
Storm Repair Primary
PROJECT NAME PERMIT EXPIRES 07127/2016
1002FIynnDr- 140728 -2014 Storm Damage ESTIMATED COMPLETION DATE 12/31/2014
DESCRIPTION OF WORK
Reroof, siding and gutters
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
$50
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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 pf the undersigned or any alteration or change from this application without approval of the
B in 9 Official, shall const
Itute efficient ground for the revocation of any permit issued which was based on the approval of this
pli ation.
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