MS-2014-00848_0001.tif i
CITYOFBLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Application (402) 426 -4191 - Phone
(402) 426 -4196 - FAX
MS 2014 - 00848 se o� a� www.blairnebraska.org
07103/2014 MISC Residential July 3, 2014
LOCATIONORMPROVEMENT: 269 N 23rd St, Blair, NE 68008
0 ARCHITECT:
® GENERAL Lasting Improvements LLC
OWNER: Timothy J And Tamera S Mcmanigal CONTRACTOR: 421 S 154th St
OMAHA, NE 68154
269 N 23rd St
BLAIR, NE 68008 -0000
NATURE OF WORK STRUCTURE
Storm Repair Primary Residence
PROJECT NAME
PERMIT EXPIRES 07/02/2016
269N23rdSt- 140703 -2014 Storm Damage ESTIMATED COMPLETION DATE 12/3112014
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DESCRIPTION OF WORK
Gutters, roofing, siding, windows, deck
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheckSUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
�.
NO
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 icial hall constitute su t ent ound for the revocation of any permit issued which was based on the approval of this
applic n.
Date
Sign ture of Applicant
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