3142.tif CITYOFBLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
-4191 - Phone
Building Permit Application (402)426
(402) 426-4195 - FAX
MS-2014-03142 1se 01 www.blairnebraska.org
10/722/2014 � MISC Tesidential October 22, 2014
L
LOCATIONOF IMPROVEMENT: 656 N 24th St, Blair, NE 68008
ARCHITECT:
GENERAL Donald Andersen & Famil
OWNER: Desiree E Anderson CONTRACTOR:
235 S 9th St
656 N 24th St Blair, NE 68008
BLAIR, NE 68008-0000
... ........ . ....
NATURE OF WORK STRUCTURE
Storm Repair Primar Residence
PROJECT NAME PERMIT EXPIRES 10/21/2016
656N24thSt-141022-2014 Storm Damage ESTIMATED COMPLETION DATE 12/3112014
DESCRIPTION OF WORK
Roof, sidin and g utters.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
$50
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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 re for electrical, plumbin heatin ventilatin and air conditionin and septic s
4. The undersi owner or a understands and acknowled this buildin permit application does not constitute issuance of
this buildin permit. It is further understood that construction covered b this permit application shall not be commenced until a
cop of a permit si b the Buildin Inspector is issued.
5. The undersi owner or a a to perform the proposed work in accordance with'the specifications set forth above and
in accordance with the codes/ordinances of the Cit of Blair and the State of Nebraska. An omission of or misrepresentation of
fact with or without the intention of the undersi or an alteration or chan from this application without approval of the
Buildin Official, shall constitute sufficient g round for the revocation of an permit issued which was based on the approval of this
Signature of Applicant Date