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CITYOFBLAIR j
218 S. 16TH STREET
BLAIR, N SKA 68008 j
Building P ermit App lication (402) 426-1 - Phone
o "a� I p p (402) 426 -4195 - FA�C
MS- 2014 -03150 n,,s a� www.blairnebraska.org
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10/23/2014 bpeterse MISC Residential October 23, 2014
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LOCATION OF IMPROVEMENT: 2569 Sunrise Dr Blair NE 68008
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R ARCHITECT:
GENERAL Big Blue Construction
OWNER: Kyle M And Rachel L Sears CONTRACTOR:
2330 Keystone Dr
2569 Sunrise Dr OMAHA NE 68134
BLAIR, NE 68008 -0000
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NATURE OF WORK STRUCTURE
Storm Repair Primary Residence
PROJECT NAME PERMIT EXPIRES 10/22/2016
2569Sun rise Dr- 141023 -2014 Storm Damage
ESTIMATED COMPLETION DATE 12/31/2014
DESCRIPTION OF WORK
Re- roofing, sidning and gutters.
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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 required for electrical, plumbing, heating, ventilating and air conditioning, and septic system.
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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
fact with or hout the intention of the undersigned or any alteration or change from this application without approval of the
Buil ah al, shall constitutes f��recatiea- of any__permit issued which was based on the approval of this
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Signature of Applicant Date