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CITYOF BLAIR
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BLAIR, NEBRASKA 68008
B uil d ing Permit Application (402) 426 -4191 -Phone
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MS -2014 -00580 Anse of a� www.blairnebraska.org c
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06125/2014 intern MISC Residential July 10, 2014
LOCATIONOFIMPROVEMENT: 2960 College Dr, Blair, NE 68008
ARCHITECT:
1 GENERAL Triton Exteriors Inc
® OWNER: John T And Judith A May CONTRACTOR: 1121 Bluebill Blvd
Buffalo, MN 55313
2960 College Dr
BLAIR, NE 68008 -0000
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NATURE OF WORK STRUCTURE
Storm Repair Primary Residence
PROJECT NAME PERMIT EXPIRES 06/2412016
2960CollegeDr- 140625 -2014 Storm Damage
ESTIMATED COMPLETION DATE 12/3112014
DESCRIPTION OF WORK
Roofing
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
$50
1111 DOMINION 0- --
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
Bu' fficial, shall constitute fficient ground for the revocation of any permit issued which was based on the approval of this f
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Signa f Ap icant Date
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