MS-2014-02517.tif i
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CITYOF BLAIR
' 218 S. 16TH STREET
BLAIR, NEBRASKA 68008
02 A� i R I ' ��- =° B uilding Permit Application (402) 426 -4191 - Phone
(402) 426 -4195 - FAX
MS- 2014 -02517 ar ° Ise of aJd�� www.blairnebraska.org
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08/29/2014 ShellyJ MISC Residential August 29, 2014 I
LOCATION OF IMPROVEMENT: 2008 South St, Blair, NE 68008
ARCHITECT:
� GENERAL Hicks Drywall LLC
OWNER: Ryan M Wolgan CONTRACTOR:
PO Box 44
2008 South St Blair, NE 68008
k BLAIR, NE 68008 -0000
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NATURE OF WORK STRUCTURE
Storm Repair Primary
PROJECT NAME PERMIT EXPIRES 08/28/2016
2008SouthSt- 140829 -2014 Storm Damage
ESTIMATED COMPLETION DATE 12131/2014
DESCRIPTION OF WORK
Reroof and gutters
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
$50
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
Buildi g Official, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
appli atio .
Date
Signature of Applicant
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