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CITYOF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
i - (402) 426 -4191 - Phone
Building Permit Application
(402) 426 -4196 - FAX
MS- 2014 -03165 e of a � www.blairnebraska.org
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1 10/24/2014 bpeterse MISC Residential October 24, 2014
LOCATION OF IMPROVEMENT: 618 Hillcrest Dr, Blair, NE 68008
w._ ARCHITECT:
® GENERAL F/S Contracting
OWNER: Kimberly Ann Conrad CONTRACTOR:
324 S 13th St
618 Hillcrest Dr Tekamah, NE 68061
BLAIR, NE 68008 -0000
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_ . ' -----
NATURE OF WORK STRUCTURE
Storm Repair Primary Residence
PROJECT NAME PERMIT EXPIRES 10/23/2016
618HiIlcrestDr- 141024 -2014 Storm Damage
ESTIMATED COMPLETION DATE 12/31/2014
DESCRIPTION OF WORK
Roof, gutters
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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
i
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 suff gient gr and fo the revocation of any permit issued which was based on the approval of this
application.
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Date
ignat pplicant
I
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CITYOF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
=MS-2014-02977 _ w - = Building Permit pplication 402) 426-4191 - Phone
(402) 426 -4195 - FAX
ise of aid\, www.blairnebraska.org
110/06/201 4 intern MISC Residential October 6, 2014 j
LOCATIONOFIMPROVEMENT: 353 S 25th St, Blair, NE 68008
ARCHITECT:
" GENERAL F/S Contracting
OWNER: Nancy K Rybin CONTRACTOR:
324 S 13th St
353 S 25th St Tekamah, NE 68061
BLAIR, NE 68008 -0000
T,
NATURE OF WORK STRUCTURE
Storm Repair
Primary Residence
PROJECT NAME PERMIT EXPIRES 10/05/2016
353S25thSt- 141006 -2014 Storm Damage ESTIMATED COMPLETION DATE 12/31/2014
DESCRIPTION OF WORK
Roof, gutters
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheckSUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
$50 C
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
i
fact with or without the intention of the undersigned or any alteration or change from this application without approval of the
i
Building Official, shall constitute , Ificient round for the revocation of any permit issued which was based on the approval of this
application.
3// 7
Sign of Applicant Dat