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09-23-'14 13:51 FROM - Absolute Customs T -148 P0001/0006 F -062
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FLAIR, NEURASKA6$008
Bu ild ing r it Appl ication (402) .426 -41 91 - Prone t
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I91014 bpeterse MI Residential M 7� September 2014
SWUN LWAT[O1vC RMPRMAHMENT. 1002 N 18th Ave, Blain NE 68008
� AFCHfMGl':
r GENERAL Absolute Roofing
OWNER. D uane A And Tracy E Heffe lfinger COMRAC'1OR-
17330 VW Center Rd Ste 110
1002 N 'loth Ave OMAHA, NE 68130
BLAIR, NE 68008 -0000
==NMI MATURE OF 'IIVOR TRU T URE
Storm Repair Primary Residence
PROJECT NAME
PERMIT EXP IRES 09/21/2018
1002N18thAve- 140922 -2014 Storm Damage ESTIMATED COMPLETION DATE 1W112014
DESCRIPTION O WORK
Roofing, Gutters, Siding, Windows and Faint
DEPOSIT PAID BY: SITE FLAN SUBMITTED! NA
Contractor
RESchecklCOMcheok SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
i
MINI: 11 11111 0110MEW INNINiffam
1, No work will be started before a permit is ISSUED AND POSTED.
2. For commercial permits, a set of plans for this project mast 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 pe rmit application shall not be c o mmenced 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 withau the intention of the undersigned or any alteration or change from this application without approval of the
Building official, all constitute su . elent ground for the revocation of any permit issued which was based on the approval of this
application.
;igeat Applicant
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