MS-2014-02819.tif i
CITYOF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
II 111 Pe App lication (402) 426 -4191 - Phone
�� . ���- (402) 426 -4195 - FAX
MS- 2014 -02819 �� /Se of a� www.blairnebraska.org
IN I il 111 11
09/19/2014 bpeterse MISC Residential September 22, 2014
LOCATION OF IMPROVEMENT: 208 Jackson St, Blair, NE 68008
ARCHITECT:
n GENERAL Quality Home Exteriors
OWNER: Larry A And Mindy L Logston CONTRACTOR:
11679 Todd Dr
208 Jackson St Blair, NE 68008
f BLAIR, NE 68008 -0000
r
NATURE OF WORK STRUCTURE
Storm Repair Primary Residence
PROJECT NAME PERMIT EXPIRES 09118/2016
208JacksonSt- 140919 -2014 Storm Damage
ESTIMATED COMPLETION DATE 12/31/2014
DESCRIPTION OF WORK
Roof and gutter replacement.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
$50
'=- ;
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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 cod inances of the City of Blair and the State of Nebraska. Any omission of or misrepresentation of
fact with or ithout t intenti n of the undersigned or any alteration or change from this application without approval of the
'
Buildin O ial, h constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
appli �ti .
l
Signature of ppli ant Date
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