2816.tif CITY01713LAIR
218 3.1 STF4 STREET
• C� r BLA►IR, NEBRASKA 68008
7MS -,201440281 6 I� i'1�11'1 E�TI�11 p► rr ati ►n (402) 42e -4191 - Phone
(402) 428 - 4796 -FAX
°m s� t � www.blairnebmska.org
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09149120'14 bpeterse mist Residential September 23, 2014
LOCATIONOFIMPROVBAENT, 4 320 Wright St, Blair, NE 68008
OM ARCHT5CT� GENERAL Construction � NERAL Ace Construction
a V OM Cara A Jorgenson CONTRACTOR;
Vt3 Benson St
1 326 Wright St Council Bluffs, IA 31801
BLAIR, NE 98008 - 00106.
NATURE OF WORK STRUCTURE
Storm Repair Primary Residence
PERMIT EXPIRES 09 11812013
PROJECT NAME
132SWrightSt- 140919 Storm Damage ESTIMATED COMPLET DATE 12/3112014
DESCRIPTION OF WORK
Re -roof and aiding.
DEPOSIT PAID BY: SITE PLAN SUBMITTED NA
Contractor
REScheolc=Mcheck SUBMITTED: NA
DEP W STATUS: BUILDING PLANS SUBMITTED; NA
$5
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 a re required for electrical, plumbing, heating, ventilating and air conditioning, and septic system.
4. The undersigned owner or agent underattinds and acknowledges this building permit application dues not constitute lssuanoe 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.
a. The undersigned owner or agent agrees to perform the proposed work in accordance with the specifications set forth above and
in accordance with the oodeslordinances of the City of glair 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 issued which was based on the approval of this
application.
Efate
Sig atura cK,Applic
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