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09- 23 -'14 13,52 FROM- Absolute Customs T -148 P0003/0006 F -062 I
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BLAIR, NEBRAS"6800
Bu ilding eC i App lication (402) 428 -4101 - Phone
�r -01 4•8 � #n, u�`��' (402) 426-4195 - FAX
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)8122/2014 bpeterse MISC Residential September 23, 2014
LW ATIONOFIMPROVFMEf M. 743 Garfield St, Blair, NE 68008
� /1iCNITECT:
• GrzNERAL Absolutes Roofing
f OWNER: Kim W And Christi Mead Nielsen CONTRACTOR:
17330 W Center Rd Ste 110
742 Garfield St QIVIAHA, NE 68120
BLAIR, NE 68008 -0000
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NATURE OF WORK S TRUCTURE
Storm Repair Primary Residence
PROJ NAME PERMIT EXPIRES 01912 112018
743GarfieldSt Storm Damage
ESTIMATE CO DAT 12131 /2014
DESCRIPTION OF WORK
Re - roofing, gutters, siding, windows and paint.
DEPOSI PAID BY: SITE PLAN SUBMITTED: NA
Contractor
RESche+ckICOMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
MOWN
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.
S. 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.
B. 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 /ordiriances 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
Building Official all constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
applioatit�rt, ?/-Z - 31,
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