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�. CITYOFBLAIR
218 S. 16TH STREET
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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
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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