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09-23-'14 13:53 FROM- Absolute Customs T -148 P0006/0006 F -062
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BLAIR, NEBRASKA68008
Build ernift App lication (402) 426.41911 - PhOne
� ��,�;' (402) 426 -4195 • FAX VI; `� Q1 - 331 `Q ,Wf$¢ 41 �,ao' www.blairnebraska.org
19/2212014 bpeterse M ISO Residential September 23, 2014
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LOCAT IONOP'WROVEMENT. 1227 Pinewood Dr, Bla NE 68008
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GENERAL. Absolute Roofing
OWNER: Kimberly K And Joseph J Foral OONTMOMR.
17330 W Venter Rd Ste 110
1227 Pinewood Dr OMAHA, NE 68130
BLAIR, NE 68400 -0000
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NATURE OF WORK STRUCTURE
Stortrr Repair Primary Residence
PROJEC NAME PERMIT EMPIRES 011/21/2016
1227Pine 144922 -2014 Sturm ESTIMATED CO MPLETION DATE 12MI12014
Damage
DESCRIPTION OF WORM
Roofing, Siding, Gutters, Windows,
DEPOSIT PAID BY: SITE FLAN SUBMITTED: NA
Contractor
RESaheck1COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
will
1. No work will be started before a permit is I8SLJt=0 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.
B. 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 th app lication without approval of the
Building Official, s constitute sufJ - ent ground for the revocation of any permit issued which was based on the approval of this
application.
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