MS-2014-02821.tif t
CITYOF BLAIR
,a
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
� Building I App (402) 426 -4191 -Phone
(402) 426 -4195 - FAX
MS- 2014 -02821 a ` °�nrs of www.blairnebraska.org
09119/2014 ShellyJ MISC Residential September 19, 2014
LOCATION OF IMPROVEMENT: 1441 Grant St, Blair, NE 68008
ARCHITECT:
GENERAL Quality Home Exteriors
OWNER: Scott K And Jamie L Johnson CONTRACTOR:
r 11679 Todd Dr
1441 Grant St Blair, NE 68008
BLAIR, NE 68008 -0000
RA UR r
NATURE OF WORK STRUCTURE
Storm Repair Primary
PROJECT NAME PERMIT EXPIRES 09118/2016
1441GrantSt- 140919 -2014 Storm Damage 12/31/2014
ESTIMATED COMPLETION DATE
DESCRIPTION OF WORK
Reroof, siding and gutters
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheckSUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
$50
161 ,._..
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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 code ldinances of the City of Blair and the State of Nebraska. Any omission of or misrepresentation of
fact with or without the ' tention of the undersigned or any alteration or change from this application without approval of the
Building Officio sha constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
applicat'
Signature of plicant Date