2124.tif i
CITYOFBLAIR
218 S. 16TH STREET
BLAiR, NEBRASKA68008 I
i (402) 426 -4191 - Phone ' r
B uilding Perm 1p ti
9 ��a (402) 426 -4195 -FAX
MS -2014 -02124
�� www,.blairnebraska.org
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08/1212014 MiSC Residential August 12, 2014 E
LOCATIONOFIMPROVEMENT: 1 2363 Rose Dr, Blair, NE 68008
ARCHITECT:
GE NERAL Home Pride Contractors, Inc.
OWNER: Renee Ruhkamp CONTRACTOR
5202 "Q" St
12363 Rose Dr Omaha, NE 68117
Blair, NE 68008
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NATURE OF WORK STRUCT
k
Storm Repair Primary Residence
PROJECT E
PERMIT EXPIRES 08/1112016
i
12363RoseDr =140812 -2014 Storm Damage 12/31/2014
ESTIMATED COMPLETION DATE
DESCRIPTION OF WORK
Roof, gutters
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DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheck SUBMITTED: iyA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
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!
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
app ' ati n.
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