MS-2014-03040.tif CITYOF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
(402) 426-4191 -Phone
Building Permit Application
111 ffiz M-
(402) 426-4195 - FAX
MS-2014-0304 "Wse of www.blairnebraska.org
10110/2014 ShellyJ MISC Residential October 10, 2014
LOCATION OF IMPROVEMENT: 452 S 15th St, Blair, NE 68008
ARCHITECT:
GENERAL Complete Industries Inc
OWNER: Katherine And Dustin Stricklett CONTRACTOR:
1118 Applewood Dr
452 S 15th St PAPILLION, NE 68046
BLAIR, NE 68008-0000
MINN., I
n o s. "
NATURE OF WORK STRUCTURE
Storm Repair Primary
PROJECT NAME PERMIT EXPIRES 10/09/2016
452S15thSt-141010-2014 Storm Damage ESTIMATED COMPLETION DATE 1213112014
DESCRIPTION OF WORK
Reroof and gutters
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheck 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
f act with or with the intention of the undersigned or any alteration or change from this application without approval of the
act
Building Official, all constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
,app!oation.
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Signature of Applicant Date