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3057.tif i CITYOF BLAIR 218 S. 16TH STREET BLAIR, NEBRASKA 68008 Il Ill Permit lIC1t1011 (402) 426 -4191 - Phone MS -201 -03057 (402) 426 -4195 - FAX ° rise of a °° www.blairnebraska.org i 10/14/2014 bpeterse MISC Residential October 14, 2014 y° LOCATIONOFIMPROVEMENT: 2293 Fieldcrest Dr, Blair, NE 68008 AN f ARCHITECT: GENERAL Ted Denning Construction r OWNER: Chad And Jenny Bruck CONTRACTOR: 3441 Unity Ln 2293 Fieldcrest Dr Neola, IA 51559 x BLAIR, NE 68008 -0000 ..;. ;. a .=- .✓ ..ri r-;; :. - , a..�_ .�: -,a,? ...�,: - rr...., , �...- .,,?N,- Fes., —, -"__„� _r ;;.. � -= w-^ ...✓r%=.._. � �. er -r'... „ -s^, `;:. ,� =-.✓Y a-- , r.'. .r- '-� '�"^;,,'x`,�� :- ; � r'... :�^� �, > s - _ , u, w�.� - ,- ..._ '— s,:��.a"� .rte �s" --, �„ °✓' ^'.;� .,. -a rte; -''` ,- .�' . � .., --• �' :. r >. �' �,�� � _ � � . � ` ' �-"..,. - � k�-� '� � :: NATURE OF WORK STRUCTURE Sign Primary Residence PROJECT NAME PERMIT EXPIRES 10/13/2016 2293FieldcrestDr- 141014 -2014 Storm Damage ESTIMATED COMPLETION DATE 12/31/2014 DESCRIPTION OF WORK Re -Roof siding and gutters. DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA NA REScheck /COMcheck SUBMITTED: NA DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA N/A � a-, "s„ ..:. b Y .C.., A ., yF.„„ ... .-.: _.. ea6 .�„ .. ...! .- ...__ ,, rr-- ,2^"°'c'.. :;•:"`^., - -". v;' .-. ,^>. mom',` r u.:..,. ..... .3... 1'�� a'-.z. E. .tea. :�E .. �. �: - �?"� -�-,., .,fi,�..- ,,.:�<.= �..sr,,,.?�, 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 i 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 nt ground for the revocation of any permit issued which was based on the approval of this icati Signature of Applicant ate