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2554.tif I CITYOFBLAIR P 218 S. 16TH STREET BLAIR, NEBRASKA 68008 jl © 402 426 -4191 - Phone B uildin g I Application ( > a o� (402) 426 -4195 -FAX MS- 2014 -02554 jSe of a www.blairnebraska.org 09/03/2014 MISC Residential September 3, 2014 7 A LOCATION OF IMPROVEMENT: 11456 Co Rd 27, Blair, NE 68008 � ARCHITECT: GENERAL Jorgensen Contracting, Inc. OWNER: Gary R And Diane L Wehrli CONTRACTOR: � 530 Front St 14933 State Hwy 91 Blair, NE 68008 =� BLAIR, NE 68008 -0000 'r M 0 NATURE OF WORK STRUCTURE Storm Repair Primary PROJECT NAME PERMIT EXPIRES 09102/2016 11456Co Rd 27- 140903 -2014 Storm damage ESTIMATED COMPLETION DATE 12/31/2014 DESCRIPTION OF WORK Reroof and replace west and north wall on pole barn DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA Contractor REScheck/COMcheck SUBMITTED: NA DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA $50 =�` ✓, .,..`. �;�: ...rte -� {' '-N' -.rte' ,w.. r.— . -�". ..:.,. ,, y7 �.. -.s.'' ,,-:.. �+ „r .;.,., . � r M t?,.. - `� ,--.:- ":^». ,- rw..a. �„-- ..^�. --�' ..;-� .�, -�-»- .. ...° ','.��;` -�-., , ,y.- . d i " d s r; :£„- �,r'' . -Z.., .I'r ✓'= a „.... -u =a .::-.- -7,,, ,.. .,. ..n.- 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 with or without the it on of the ui , signed or any alteration or change from this application without approval of the ding Official, shall onstit a sufficie gro d for the revocation of any permit issued which was based on the approval of this a i C,-- Signature of Applican,,- ,�' Date