2848.tif I
CITYOFBLAIR
n = 218 S. 16TH STREET
BLAIR, NEBRASKA 68008
����� °` Building Permit Application (402) 426 -4191 -Phone
MS -201 02848 (402) 426 -4195 - FAX
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09123/2014 Shelly) MISC Residential September 23, 2014
,may LOCATION OF IMPROVEMENT: 2033 Lincoln St, Blair, NE 68008
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ARCHITECT: GENERAL Hoffman Weber Construction Inc
OWNER: Bruno C And Lorene F Co- Trustees CONTRACTOR:
Batenhorst 3515 48th Ave N
2033 Lincoln St MINNEAPOLIS, MN 55429
BLAIR, NE 68008 -0000
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NATURE OF WORK STRUCTURE
Storm Repair Primary
PROJECT NAME PERMIT EXPIRES 09122/2016
2033LincolnSt- 140923 -2014 Storm Damage
ESTIMATED COMPLETION DATE 12131/2014
DESCRIPTION OF WORK
Reroof, siding and gutters
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheckSUBMITTED: 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
Building Official, shall constit ufficient ground for the revocation of any permit issued which was based on the approval of this
application.
Signature of Applicant Date