2536.tif CITYOFBLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
44 Building Permit Application (402) 426 -4191 -Phone
(402) 426 -4195 - FAX
MS- 2014 -02536 °wise of a`' www.blairnebraska.org
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09/02/2014 ShellyJ MISC Residential September 2, 2014 I
LOCATIONOFIMPROVEMENT: 2348 Fontanelle Blvd, Blair, NE 68008
� ARCHITECT:
GENERAL Nissen Construction
® OWNER: Lisa And Kurt Hodges CONTRACTOR:
13620 Larson Cir
2348 Fontanelle Blvd Blair, NE 68008
BLAIR, NE 68008 -0000
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NATURE OF WORK STRUCTURE
Storm Repair Primary
PROJECT NAME PERMIT EXPIRES 09/0112016
2348FontanelleBlvd- 140902 -2014 Storm ESTIMATED COMPLETION DATE 1213112014
Damage
DESCRIPTION OF WORK
Reroof
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 witli or without the intention of the undersigned or any alteration or change from this application without approval of the
Building fficial, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
plicati
Sign ure o ppl cant Date