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MS-2014-01541.tif i i CITYOF BLAIR 218 S. 16TH STREET BLAIR, NEBRASKA 68008 Phil Building Permit Application (402) 426 -4191 - Phone 9 (402) 426 -4195 -FAX MS- 2014 -01541 /S 0i of a www.blairnebraska.org 1111i gill; 1 11111i 07/2212014 MISC Residential July 22, 2014 % LOCATION OF IMPROVEMENT: 1871 Grant St, Blair, NE 68008 I ARCHITECT: GENERAL Huber Builders, LLC CONTRACTOR: � OWNER: Troy And Michelle Stanley 2010 Fieldcrest Dr Blair, NE 68008 1871 Grant St BLAIR, NE 68008 -0000 r i a b y NATURE OF WORK STRUCTURE Storm Repair Primary Residence PROJECT NAME PERMIT EXPIRES 07/21/2016 1871GrantSt- 140722 -2014 Storm Damage ESTIMATED COMPLETION DATE 12/3112014 DESCRIPTION OF WORK Roof, siding, gutters DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA Contractor REScheck/COMcheck SUBMITTED: NA DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA aggg gv vn -x 9A r 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 Official, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this application. Signature of Applicant Da e i E