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� CITYOFBLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008 E
l o g
®� (402) 426 -4191 -Phone
(402) 426 -4195 - FAX
MS- 2014 -02347 'Nse of Q www.blairnebraska.org
08/2112014 brwheel SC Residential August 21, 2014
LOCATION OF IMPROVEMENT: 1478 Oak Dr, Blair, NE 68008
ARCHITECT: GENERAL Contractors +
OWNER: Stephanie Glowicki CONTRACTOR:
4359 S 89 St
1478 Oak Dr OMAHA, NE 68127
MR BLAIR, NE 68008 -0000
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NATURE OF WORK STRUCTURE
Misc. Permit Primary Structure
PROJECT NAME PERMIT EXPIRES 0812012016
14780akDr- 140821 -1
ESTIMATED COMPLETION DATE 12/31/2014
DESCRIPTION OF WORK
Roof, Gutters, Siding, Windows
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheckSUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
$50
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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 suffici, ground for the revocation of any permit issued which was based on the approval of
this appli ion.
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