2367.tif CITYOFBLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
(402) 426-4191 - Phone
Building Permit Application
(402) 426-4196 - FAX
MS-2014-02367 www.blairnebraska.org
08/21/2014 ISC Residential August 21, 20)"14
LOCATION OF IMPROVEMENT: 2145 Wright St, Blair, NE 68008
ARCHITECT:
GENERAL SWI Windows Doors & More
OWNER: Larry M And Diana Stier CONTRACTOR:
203 E 7th St
2145 Wright St LOGAN, IA 51546
BLAIR, NE 68008-0000
PRO- AM I �, N NOW!
NATURE OF WORK STRUCTURE
Storm Repair Priarnry Residence
PROJECT NAME PERMIT EXPIRES 0812012016
2145WrightSt-140821-2014 Storm Damage ESTIMATED COMPLETION DATE 1213112014
DESCRIPTION OF WORK
Roof, siding
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
RESchecll M check SUBMITTED: NA
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,,Qfficial, shall constitut fficient ground for the revocation of any permit issued which was based on the approval of this
,applicat' n.
Signatu ant Date