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CITYOFBLAIR
218 S. 16TH STREET C
BLAIR, NEBRASKA 68048
Bu Perm {402 426 -4'191 - Phone
41 ,� �, (402) 426 -4'195 - FAX
°r�fs� o1� www.blairnebraska.org
09/22/2014 bpeterse MISC Residential September 23, 2014
LOCATIONOFIMPR 2309 College Dr, Blair, NE 68008
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GENERAL. Pettiecord Restoration LLC
OWNER: Patricia J oan Muth CONTRACTOR:
2664 SE 88th St
2309 College Dr Runnells, IA 50237
BLAIR, NE 68008 -0000
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Storrs Repair Primary Residence
PROJEC NAME PERM EXPIRES 09121/2016
2309CollegeDr- 140922 -2014 Storm Damage ES TIMATED TIO DATE 12/31/2014
DESCR IPTION K
Roofing and Siding
DEPOSIT PAID Y: SITE PLAN SUBMITTED: NA
Contractor
REScheck1GOMcheck SUBMITTED: 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
wilding Official st' u ici round for the revocation of any permit issued which was based on the approval of this
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Signatur ofi Ap 'cant Date
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