2245.tif CITY0FBLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
(402) 426-4191 - Phone
Buildinc
g Permit Application (402) 426-4196 - FAX
MS-2014-02245 ise 01 WWW.blairnebraska.org
2014 MISC Residential August 18,7201477 i
WINNOW
LOCATION OF IMPROVEMENT: 2067 Colfax St, Blair, NE 68008
ARCHITECT:
GENERAL Andreasen Construction
OV\NER: Harold G And Wf Wright CONTRACTOR:
2352 Lincoln St
2067 Colfax St Blair, NE 68008
BLAIR, NE 68008-0000
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NATURE OF WORK JRE
Storm Repair Primary Residence
PROJECT NAME PERMIT EXPIRES 08117/2016
2067ColfaxSt-140818-2014 Storm Damage ESTIMATED COMPLETION DATE 12/3112014
DESCRIPTION OF WORK
Roof, siding, gufters
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
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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
,ai,Rlication. 6 I F — / 4 -)
a-z��14 Date
Signature of Applicant