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CITYOF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA68008
_N U1I 111 rIY11 Application (402) 426 -4191 -Phone
9
(402) 426 -4195 -FAX
MS- 2014 -01973 /ise of av www.blairnebraska.org
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08/08/2014 MISC Residential August 8, 2014
LOCATION OF IMPROVEMENT 2429 Washington St, Blair, NE 68008
ARCHITECT:
GENERAL Hoffman Weber Construction Inc
® OWNER: Nis A And Eloise F Mommsen CONTRACTOR:
3515 48th Ave N
M � 2429 Washington St MINNEAPOLIS, MN 55429
BLAIR, NE 68008 -0000
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NATURE OF WORK STRUCTURE
Storm Repair Primary Residence
PROJECT NAME PERMIT EXPIRES 08/07/2016
2429WashingtonSt- 140808 -2014 Storm ESTIMATED COMPLETION DATE 12/31/2014
Damage
DESCRIPTION OF WORK
Roof, siding
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 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
application.
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Signature of Applicant Date