MS-2014-0240.tif i
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CITYOF BL.AIR
218 S. 18TH STREET
BLAIR, NEBRASKA 68008
=-20 - uildin er i li tiara cQ) A26 -�e� -,she
(402) 426 -4196 - FAX 2544 /so at `' °� www.bia,lrnebraska.org
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09102/2014 $heiiyJ MISC Residential Sept ember2, 2014
LOCATIONOFIMPROVEMENT; 749 N 14th Ave, Blair, NE 68008
� ARCHITECT;
�► GENERAL. Husker Siding Windows, Inc.
OWNER. Lanny H, Trustee Hoogner CONTRACTOR.
' 1406 Veterans Dr
749 N 14th Ave Elkhorn, NE 68022
BLAIR, NE 68008 -0000
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NATURE OF WORK STRUCTURE
Storm Repair Primary
PROJECT NAME PERMIT EXPIRES 09/0112016
748N14thAde- 140902.2014 Storm damage
ESTIMATED COMPLETION DATE 1213112014
DESCRIPTION OF WORK
Reroof
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
RESchock/COMeheek SUBMITTED. NA
DEPOSIT STATUS; BUILDING PLANS SUBMITTED: NA
$50
!1! 1 E
,.-
Room
1. No work will be started before a permit is ISSUED AND PASTED.
2. For commercial permits, a set of plans for this project must be submitted to the Nebraska State Fire Marshal's Office for review.
8. 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.
6 -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 C)ffi , shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
p lication.
Signature Applican Da