MS-2014-01670.tif I
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CITYOFBLAiR
218 S. 16TH STREET
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BLAIR, NEBRASKA 68008
U i I ! !'a e r 1 p l l Ca l Cl (402) 426 -4191 - phone
(402) 426 - - FAX
MS -2014 -01670 so ot'�`' www.blairnebraska.org
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07/2512014 FMISC Residential July 25, 2014
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,ij�,Wo LOCATIONOFIMPROVEMENT: 1366 S 16th St, Blair, NE 68008
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ARCHITECT:
GENERAL Pyramid Roofing
OWNER: Jean Ann Jones CONTRACTOR:
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1504 S Saddlecreek Rd
13 66 S 16th St Omaha, NE 68106
' h BLAIR, NE 68008 -0000
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NATURE OF WORK STRUCTURE
Storm Repair Primary Residence
PROJECT NAME PERi'l1IIT EXPIRES 07/24/2016
1366S16thSt- 140725 -2014 Storm Damage �
ESTIMATED COMPLETION DATE 1213112014
DESCRIPTION OF WORK
Roof, gutters, garage door
DEPOSIT PAID BY. SITE PLAN SUBMITTED: NA
Contractor
RESchecklCOMcheck 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
fact with or without the intention of the undersigned or any alteration or change from this application without approval of the
Building Official, s onstitute sufficient ground for the revocation of any permit issued which was based on the approval of this
application.
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Signature k Applicant
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