MS-2014-01334_0001.tif i
L U CITYOF BLAIR
218 S. 16TH STREET
P ermit NEBRASKA 68008
. Building Permit Application (402) 426 -4191 -Phone
(402) 426 -4195 - FAX
MS- 2014 -01334 IO C /Se 01 qu www.blairnebraska.org
07/1612014 77 M Residential July 16, 2014
LOCATIONOFIMPROVEMENT: 957 N 28th St, Blair, NE 68008
ARCHITECT: GENERAL G & J Remodeling
® "4 OWNER: Jonathan D And Michelle Hutchson CONTRACTOR: 6006 Wenninghoff Rd
Omaha, NE 68134
957 N 28th St
BLAIR, NE 68008 -1016
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NATURE OF WORK STRUCTURE
Storm Repair Primary Residence
PROJECT NAME PERMIT EXPIRES 07/15/2016
957N28thSt- 140716 -2014 Storm Damage 12/31/2014
ESTIMATED COMPLETION DATE
DESCRIPTION OF WORK
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Roof
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
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Contractor
REScheck/COMcheckSUBMITTED: 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 with opt ° = in (Mti n of the undersigned or any alteration or change from this application without approval of the
Buildinng�Official hall constitute ufficient ground for the revocation of any permit issued which was based on the approval of this
a'pplicat on �
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Date , I
Signature of Applicant