MS-2014-02584.tif i
09/03/2014 WED 18:47 FAX 11 001 /004 j
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Sep. 3, 2014 5:06PM CITY OF BLAIR (402, 426, 4191) No. 4964 P. 6
CiTYOFSLAIR
298 S. 16TH STREET
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Permit BLAIR,NEBRAEKAG0000
" add Pt Appltion (402) 4 2 6. 4191 - PhonO
•: �a (402) 426.4996 • FAX
MS- 2014.02584 -0 � °�„ a , �o °' wwW,blal rile bras ka,orcg
09/0312014 Shelly) MISC Residential September 3, 2014
t LOCATIONOFIMPROVEMENT: 1027' Mary Beth Cir, Blair, NE 88008
ARCHI`MOT,
0,ENEf�AL Fro Contratting
` owNER: Bryan J And Atny S Hanson CONTRACTOR:
324 S 13th St
10 27 Mary Deth Cir Tekamah, NE 68061
BLAIR, NE 88000 -0000
NATURE O P WORK STRUCTURE
Storm Repair Primary
PROJECT NAME PERMIT EXPIRES 09102 12016
1427Mary BethCir- 1409D3.2014Storm
Damage IvSTI111lATED COMP LETION DATA 1
DESCR OF WORK
Reroof, gutters and siccing
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
RESafieok=M check SUBMITTED NA
DEPOSIT STATUS: BUILDING FLANS 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 Eire, Marshal's Office For rev
3. Separate permits are roquired for electrical, plumbing, treating, ventilating and air conditioning, and septic system.
4. The undersigned owner or agent understands and acknowledges this building permit application does not constitutO 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,
S. The undersigned owner or agent agrees to perform the proposed work in accordance with the specifications sot 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 infcntion of the undersigned or any alteration or change from this application without approval of the j
Building Off cal, sh If Onstitute sufficient ground for the revocation of an permit issued which was based on tho appr of this
a ficatio
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