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09-30-'14 12:34 FROM- Absolute Customs T -173 P0001/0001 F -097
218 R.16TH STREET
SLAIR, NEBRASKA 68008
App lication
{402) 426 -4191 - P hone
Building
(402) 426 -4195 - FAX
WS 2014 02$9$ ° , Q , d #� www.biairnebraska,org
)9/26/2014 MIsO Residential September 26, 2014
LOCATIONOFIMPROVrEMMP 480 N 12th St, Blair, NE 6$00$
ARCHITECT: GENERAL Absolute Roofing
p OMER, William B And Mary C Kunes + NTRACTOR:
11324 W Center Rd Ste 110
490 N 12th St OMAHA, 1 613130
BLAIR, NE 66006 -0000 �
j M 0 -
NATURE OF WORK S TRUCTURE
Storm Repair Primary Residence
PROJECT NAME PERMIT EXPIRES 49/25/2016
4SON12thSt- 140926 -2014 Storm Damage 12/91/2014
E C OMPLETION GATE
DESCRIPTION O F WORK
Roof, gutter, aiding, and painting.
DEPOSIT FAIL) BV: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheckSUBMITTED: NA
DEPOSIT STATUS: BUIL13ING FLANS. SUBMITTED. NA
Boom
1. No work will be started before a permit is ISSUED AND POSTED.
2. For commercial permits, -a set of plane 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.
6. 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, all constitute suffice round for the revocation of any permit issued whioh was based on the approval of this
applica '
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