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MS-2014-01279 Ise www.blairnabraska.org
July 16, 2014
LOCAT(ONOFIMPROVEMENI'. 1574 Oak Dr, Blair, NE 68008
GENERAL Infinity Roofing & Siding, Inc.
OMER Trudy Nill CONTRACTOR: 10686 Bedford Ave Ste 300
OMAHA, NE 68164
1574 Oak Dr
NATURE OF WORK STRUCTURE
Storm Repair Primary Residence
PROJECT NAME PERMIT EXPIRES 0711412016
15740akDr-140715-2014 Storm Damage ESTIMATED COMPLETION DATE 12/31/2014
DESCRIPTION OF WORK
DEPOSIT PAID BY: SITE PLAN SUBMITTED NA
Contractor
RESchecklCOMoll SUBMITTED; NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
RAN V
1.No work will he started before upermit is ISSUED AND POSTED.
2. For commercial permits, uset 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. |tiufurther understood that construction covered by this permit application aho|| not he commenced until e
copy ofa permit signed by the Building Inspector iaissued.
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 of the City of Blair and the State of Nebraska. Any omission of or misrepresentation of
fact vNUh or without the intention of the undersigned or any alteration or change from this application without approval of the
Buf1ding Official, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
applic ion.
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�Signature of Applicant