MS-2014-01942_0001.tif I
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CITYOF BL.AIR
216 S, 1 $TRE T
BLAIR, NEBRASKA 68008
•� I
u d n Permit (402) 426 .41;1 - Phone
(402) 4264195 - FAX
MS- 2014.41942 �Qmrs� ct a'' wwiF�r.blairnebr�ska.arg
08/0612414 Shelly) MISC Residential August 7, 2(114
LOCATIONOFIMPROVEMENT: 929 N 24th Ave, Blair, NE 66008
ARCHITECT:
GENERAL Husker Siding & Windows, Inc.
p OvvNER: Ka 8 And Rick E Morch- Shafer CONTRACTOR;
1406 Veterans Dr
860 N 14th St Elkhorn, NE 68022
BLAIR, NE 68 008 -
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NATURE OF WORK ST RUCTURE
Storm Repair Primary
PROJECT NAM PERMIT EXPIRES 0810612016
920N24thAve- 140806 -2014 Storm damage
ESTIMATED COMPLETION DATE 1213112014
DESCRIPTION OF WORK
Rereaf
DEPOSIT PAID BY SITE PLAN SUBMITTED; NA
Contractor
RESahocklCOMeheckSUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
$50
1. No work will be started before a permit is ISSUED AND P
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
13u Official, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
pli ti
Date
Signat o App'Heant