MS-2014-02529.tif i
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CITYOF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
B uilding Permit I I l Il (402) 426 -4191 - Phone
-v ,��_ (402) 426 -4195 -FAX
S- 2014 -02529 a � ° � /se of avo\` www.blairnebraska.org
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09/02/2014 ShellyJ MISC Residential September 2, 2014
LOCATION OF IMPROVEMENT: 2100 Herman Blvd, Blair, NE ,68008
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ARCHITECT:
GENERAL Donald Andersen & Family
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OWNER: Norma M And Luann M, Co Trustees Voss CONTRACTOR:
235 S 9th St
2100 Herman Blvd Blair, NE 68008
BLAIR, NE 68008 -0000
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NATURE OF WORK STRUCTURE
Storm Repair Primary
PROJECT NAME PERMIT EXPIRES 0910112016
2100HermanBlvd- 140902- 2014Storm ESTIMATED COMPLETION DATE 12131/2014
Damage
DESCRIPTION OF WORK
Reroof and gutters
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 I
in accordance with the codes /ordinances of the City of Blair and the State of Nebraska. Any omission of or misrepresentation of
fact wi or without the intepOn —°-�he undersigned or any alteration or change from this application without approval of the
Buildi icial, s all onsti to suffi 'tnt ground for the revocation of any permit issued which was based on the approval of this
apl'a
Date
Signature of Applicant
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