MS-2014-02827.tif G
CITYOFBLAIR
-` 218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building Permit li tin (402) 426 -4191 -Phone G
S- 2014 -02827 ago Ja �,� (402) 426 -4195 - FAx
Ise of a www.blairnebraska.org
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09/22/2014 ShellyJ MISC Residential September 22, 2014
LOCATIONOFIMPROVEMENT: 9477 Cord P35, Blair, NE 68008
ARCHITECT:
GENERAL Exteriors Plus Inc
OWNER: Steven R And Carla J Andersen CONTRACTOR:
20901 Bennington Rd
9477 Co Rd P35 ELKHORN, NE 68022
BLAIR, NE 68008 -0000
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NATURE OF WORK STRUCTURE
Storm Repair Primary
PROJECT NAME PERMIT EXPIRES 09/21/2016
9477Cord P35- 140922 -2014 Storm Damage
ESTIMATED COMPLETION DATE 12/31/2014
DESCRIPTION OF WORK
Reroof, siding and windows
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheckSUBMITTED: 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 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 j
Building Official, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
plication.
Signature pli ant
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