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MS-2014-02566.tif
t I 09/03/2014 WED 18:42 FAX 0001 /004 Sep, 3, 2014 5:06PM CITY OF BLAIR (402, 426, 4191) Niio. 4964 P. 5 C ITYOF B LAIR 218 8, 46TH STREET BLAIR,NCMRASKA68008 B uilding Per mi Application (402) 420.4181 - Phone w Y' . ( 402) 426.4196 - FAX MS - 2014 -02566 A � ° mlae � ° °`1 www.blairnebrasKa.org MEN I 09103/2010 Shelly,) MISC residential September 3, 2.014 LOCATIONOFIMPROVEMENT: 1440 Grant St, Blair, NE 68008 ARCHITECT: t+ GENERAL PIS Conti'aoting 10MER: Sara L Wimer CONTRACTOR! 324 S 13th St 1440 Grant St Tokamah, NE 88081 BLAIR, NE 68008-OOOD NATURE OF WORK S`i'`RUCTUR.lE Ston.n R epair Prlma.ry I ROJ T NAME PERMIT EXPIRES 09/02/2016 1440GrantSt- 140903.2014 Storm ©arnage I E STIMATED COI11 PI- 5'TION DATE 1213112014 I DESCRIPTION. OF WORK Roroof gutters and siding DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA Contractor RE$chock /COM check SUSMITTED: NA DEPOSIT STATUS: BUILDING PLA SUBMITTED: NA $50 r E Lux 1. No work will be started before a permit Is ISSUED AND POSTED, 2. Fo commercial permits, a set of plans for this project must be submitted to the Nebraska State Fire Marshal's Office for review. S. 5epsrate permits are required for electrical, plumbing, heating, ventilating and air conditioning, and septic system. E 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 construct covered by this permit application shall not be commenced until a copy of a permit signed by the Building Inspector is issued. j 5. The undersigned owner or agenf ngroos to perform the proposed work In accordance with the specifications set forth above and in accordance with the codes /orclinances of the City of Glair 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 Offi ial, all consiltute suffclont ground for the revocation of any permit issued which was based on the approval of this Mica Si nature of Applicarot Date