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2868.tif i �. CITYOFBLAIR 218 S. 16TH STREET f f BLAIR, NEBRASKA 68008 ; B uilding 1 �" {402) 426 -4191 - Phone =g (482) 426 -4195 M FAX MS- 2014 -02868 a` �firsc 0i a� www.blaiirnebraska.org 09125/2014 bpeterse MISC Residential September 25, 2014 t LOCATIONORMPROVEMENT: 14310 Co Rd P18, Blair, NE 68008 ARCHITECT: GENERAL McKinnis Roofing & Sheet Mewl OWNER: Joshua A And Arianna B Purcell CONTRACTOR: ..; 164 S 1st St 14310 Co Rd P18 Blair, NE 66006 BLAIR, NE 68006 -0000 g Xtt .rn ,. „ .. l ,:,'; ... ,'vr ,: t i e . °. 3 ✓.` A V— v :: ,„ y" Y ? 1 S 1 d,_K '.G"'' z'=".^ t , -"x- `r 'S .?-" .,f✓.... .,.... ✓R._ �.; -. r-r 5' .ir Yrn. $ ., i. t: .j, h , ; ; t E _.. C xs ,. S _ `4 F` �' ..s.' a',- -y' E. MATURE OF WORK STRUCTURE Storm Repair Primary Residence r PROJECT NAME PERMIT EXPIRES 09/2412016 14310Co Rd P18- 140525 -2014 Storm Damage ESTIMATED COMPLETION DATE 12/3112014 DESCRIPTION OF WORK Roof, gutters, soffit, fascia, shutters and windows DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA Contractor RESchecklCOMcheck SUBMITTED: NA DEPOSIT STATUS. BUILDING PLANS SUBMITTED: NA $50 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 constitute sufficient ground for the revocation of any permit issued which was based on the approval of this appl" ation. Signature of Ap cant Date