3073.tif CRYOFQuAIR
218S.1eTHSTREET
- BQ\IR NEBRASKA ea000
(402) 426-4191 - Phone
Building Permit Application
MS-2014-03073L (402) 4264195 - RAX
O f www.blairnebraska.org
1011612014 intern =MISC Residential October 17, 2014
IMxrIOmoF|MpRovsMEw� 22G2UnoohmSt.B|o|r,NE88008
xRCHnEcT:
GENERAL Home Pride Contractors, Inc.
ovw»Em Christopher Custer oomMCTOm
52U2"f2"St
1324 Voss Dr Omaha, NE 68117
RLAlF, NE 68008-0000
MEN WIN
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NATURE OF WORK STRUCTURE
Storm Repair Primary Residence
PROJECT NAME PERMIT EXPIRES 10116/2016
2252LIncoinSt-141016-2014 Storm Damage ESTIMATED COMPLETION DATE 12/3112014
DESCRIPTION OF WORK
Roof
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheckICOMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED NA
1.No work will be started before a permit ie ISSUED AND POSTED.
2. For commercial permits, o set of plans for this project must be submitted to the Nebraska State Fire YWanaha|'o 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 auknmw|odQoo 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 m
copy mfm permit signed by the Building Inspector |aissued.
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 Sta of Nebraska, Any omioo|onofor misrepresentation of
xmui with or without the intention of the undersigned or any alteration or change from this application without approval of the
8 I Official, || constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
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