MS-2014-01149.tif i
i
- ''-�'- CITYOFBLAIR
218 S.16TH STREET
BLAIR, NEBRASKA 68008 E
111ld1 Per Application (402) 426 -4191 - Phone
4 \ �a (402) 426 -4195 - FAX
115 -2014 -01149 A' ° �nlse of �� °�� .blairrtebraska.org
Now
0711112014 MlSC Residential July 11, 2014
LOCATION OFIMPROVEMENP 290 N 23rd St, Blair, NI 68006
ARCHITECT:
GENERAL Home Pride Contractors, Inc.
" OMER Phyllis Green CONTRACTOR: 5202 "Q " St
e Omaha, NE 68117
BLAIR, NE 68008 -0000
W -
NATURE OF W STRUCT
Storm Repair Primary Residence
PR OJECT NAME PE RMIT EXPIRE 07/1012016
I
290N23rdSt- 140711 -2014 Storm Damage
ES TIMATED COMP LETION A T 12/3112014
DE SCRIPTION OF WORK
Roof, gutters, siding
DEPOSIT PAID BY: SITE PLA SUBMITTED: NA
Contractor
E
RESchec CO check SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
G
i
`,.: �`5�1•i�r-4 ) ;��f�7� 3,,C.�F`.,ln`'�r� ����it p�l: - -
1. No work will be started before a permit is ISSUED AN D POSTED.
2. For commercial permits, a set of plans for this projecl 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 knowledges this building permit application does not constitute issuance of
this building permit. It is further understood that cot struction covered by this permit application shall not be commenced until a
copy of a permit signed by the Building Inspector is I wed.
5. The undersigned owner or agent agrees to perform he 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
Building Official, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
appl' ation.
Date
Signature of Applicant
<
I
i