MS-2014-01730_0001.tif i
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CITYOF BLAIR I
218 S.1 6TH STREET
BLAiR, NEBRASKA 68008
B uild in g � 402
Perm A pplication � ) 426 -4191 -Phone
(402) 4264195 - FAX
MS- 2014- 01730 www.blairnebraska.org
07/29/2014 MISC Residential July 29, 2014
LOCAT10NOFIMPROVEMENT: 1070 N 25th Ave, Blair, NE 68008
D ARCHITECT:
a
GENERAL Home Pride Contractors, Inc.
WMER: James E And Kathleen A Co- Trustees CONTRACTOR:
Woodard 5202 "Q" St
1070 N 25th Ave Omaha, NE 68117
BLAiR, NE 68008 -0000
NATURE OF Wt]RK STRUCTURE
Storm Repair Primary Residence
PROJECT NAME
PERMIT EXPIRES 07128/2016
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1070N25thAve- 140729 -2014 Storm Damage ESTIMATED COMPLETION DATE 12/
DESCRIPTION OF WORK
Roof, gutters, siding
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck /COMcheck SUBMITTED: 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 codeslordinances 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..,
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Date
Signature of Applicant