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MS-2014-01304_0001.tif I I CITYOF BLAIR 218 S. 16TH STREET i BLAIR, NEBRASKA 68008 Building Permit App lication (402) 426 -4191 - Phone (402) 426 -4195 - FAX MS 2014 - 01304 ;se 01 a� °` www.blairnebraska.org 07116/2014 MISC Residential July 16, 2014 •� LOCATIONOFIMPROVEMENT: 833 Meadow Dr, Blair, NE 68008 ARCHITECT: GENERAL Absolute Roofing OWNER: Wendell And Elaine Korth CONTRACTOR: 17330 W Center Rd Ste 110 OMAHA, NE 68130 833 Meadow Dr BLAIR, NE 68008 -0000 SM r tx. msmm RZ 0 -� G gg Maw N�lfi a� NATURE OF WORK STRUCTURE Storm Repair Primary Residence I ; PROJECT NAME PERMIT EXPIRES 07/15/2016 833MeadowDr- 140716 -2014 Storm Damage 12/31/2014 ESTIMATED COMPLETION DATE DESCRIPTION OF WORK Roof, gutters, fence windows j DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA Contractor REScheck /COMcheckSUBMITTED: NA DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA i ., 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 application. Signature of Applicant / Date