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2630.tif CITYOF BLAIR v 218 S. 16TH STREET BLAIR, NEBRASKA 68008 Buil ... I App l i catio n (402) 426 -4191 - Phone (402) 426 -4195 - FAX MS- 2014 -02630 pr ° Ise of ago\\ www.blairnebraska.org i f 09/08/2014 MISC Residential September 8, 2014 � LOCATIONOFIMPROVEMENT: 1545 Butler St, Blair, NE 68008 r ARCHITECT: F GENERAL Grogan Construction OWNER: Claire & Nancy Kneifel CONTRACTOR: B 3923 N 91 st St 1545 Butler St OMAHA, NE 68134 Blair, NE 68008 u w-.,. „ -✓ .°- ...... a..��.. .. �� .'tea �.� ��� �� .. ,.� r.:.. 7 .,? -rr �,.. -:r ,r NATURE OF WORK STRUCTURE Storm Repair Primary Residence PROJECT NAME PERMIT EXPIRES 09/07/2016 1545ButlerSt- 140908 -2014 Storm Damage ESTIMATED COMPLETION DATE 1213112014 DESCRIPTION OF WORK Roof DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA Contractor REScheck/COMcheckSUBMITTED: NA DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA i Mme - M VIRUS- 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 4 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 intention of the undersigned or any alteration or change from this application without approval of the Building Official, shall constitute sufficient ground for the revocation of any permit issued which was based on the ap roval of this appli ati n. Signature of Applicant Date I I