MS-2014-01643.tif i
CITYOFBLAIR
218 S. 16TH STREET {I
M BLAIR, NEBRASKA 68008
mY� (402) 426 -4191 - Phone
uildin Permit �
�� °��,, -a' (402) 426 -4195 -FAX I -
MS- 2014 -01643 �n of �� www.blairnebraska.org I
0712512014 TM ISC WMM 7Residential July 25, 2014
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LOCATIONOFIMPROVEMENT: 1004 Nebraska St, Blair, NE 68008
ARCHITECT:
GENERAL JEM Restoration
OWNER: Nicholas J And Jacqueline Ell CONTRACTOR:
7202 Giles Rd Suite 4
1004 Nebraska St LAVISTA, NE 68128
BLALIR, NE 68008 -0000
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NATURE OF WORK STRUCTURE
Storm Repair Primary Residence
PROJECT NAME PERMIT EXPIRES 07/24/2016
1004NebraskaSt- 140725 -2014 Storm Damage
ESTIMATED COMPLETION DATE 1213112014
DESCRIPTION OF WORK
Roof, siding, gutters
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DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
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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
fac ith or wi out the intention of the undersigned or any alteration or change from this application without approval of the
Bu d g O ci shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
ap li atio
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Signature of Applicant Date