MS-2014-01379_0001.tif i
CITYOF BLAIR
:may
218 S.16TH STREET
BLAIR, NEBRASKA 66006
(402) 426 -4191 - Phone
-4195 - FAX
B uilding Permit
MS- 2014 -01379 � of d °���`,a (402) 426
www.blairnebraska.org
07117/2014 bpeterse MISC "Residential July 17, 2014
LOCATIONOFIMPROVEMENI: 337 N 22nd St, Blair, NE 68006
ARCHITECT: GENERAL National Siding & Windows
e' OWNER:.IacM. R'Santee
CONTRACTOR: 964 S 110th Plaza
OMAHA, NE 66154
337 N 22nd St
BLAIR, NE 68003 -0000
NATURE OF WORK STRUCTURE
Storm Repair Primary Residence
PERMIT EXPIRES 07/16/2016
PROJECT NAIL
337N22ndSt- 140717 -2014 Storrs Damage ESTIMATED COMPLETION DATE 12/3112014
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DESCRIPTION OF WORK
Re- roofing and siding.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED NA
$50
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
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nature of Applicant
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