MS-2014-01054_0001.tif i
CITYOF BLAIR
218 S. 16TH STREET
A pplication Building Permit Application (402) 426 -4191 -Phone
� (402) 426 -4195 - FAX
MS- 2014 -01054 p � °� °, q � www.blairnebraska.org
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0710912014 MISC Residential July 9, 2014
LOCATIONORMPROVEMENT: 1770 Grant St, Blair, NE 68008
ARCHITECT:
® GENERAL Fitzgerald Remodeling
OWNER: Steven A And Leslie L Byers CONTRACTOR: 3412 Dodge St
OMAHA, NE 68131
5052 N 165th St
OMAHA, NE 68116 -8054
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NATURE OF WORK STRUCTURE
Storm Repair Primary Residence
PROJECT NAME
PERMIT EXPIRES 07/0812016
1770GrantSt- 140709 -2014 Storm Damage ESTIMATED COMPLETION DATE 719/2016
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DESCRIPTION OF WORK
Roofing
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheckSUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
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 wO the codes /ordinance , y6f the City of Blair and the State of Nebraska. Any omission of or misrepresentation of
fact with or yflhout t i ntion of: a undersigned or any alteration or change from this application without approval of the
Building O cial �s c stitute u cie t ground for the revocation of any permit issued which was based on the approval of this
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Signat a of ppl' Date
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