MS-2014-01071_0001 (2).tif i
CITYOFBLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008 1
. ¢ x b Building Permit Application (402) 426 -4191 -Phone j
(402) 426 -4195 - FAX
MS -2014 -01071 p 'C' n;s os a "
07/10/2014 MISC Residential July 10, 2014
LOCATIONOFIMPROVEMENT: 1542 Butler St, Blair, NE 68008
r N ARCHITECT:
GENERAL. First Choice Builders
OWNER: Shirley J Bridges CONTRACTOR: 8909 Bedford Cir #4
OMAHA, NE 68134
1542 Butler St
BLAIR, NE 68008 -0000
.•�-. zh
S ,. ,Cw.:W.,t_'. i t N`"`r'�' r„Yr -tt
�.A., -. ��._ �°'
F ar
NATURE OF WORK STRUCTURE
Storm Repair Primary Residence
I
PERMIT EXPIRES 07/0912016
PROJECT NAME
1542ButierSt- 140710 -2014 Storm Damage ESTIMATED COMPLETION DATE 12/31/2014
DESCRIPTION OF WORK
Roof, fascia, gutters
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
I
Contractor
REScheck/COMcheckSUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
i
I
i
1
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
n undersigned or an alteration or cha from this application without approval of the
fact with or without the intention _f the _ g y g pp
Building Official, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
applicon.
Date
Si ature of Applicant