3185.tif i
r - CITYOFBLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 6800
Building Permit Application (402) 426 -4191 - Phone
a go -2014-031857 go a�� (402) 426 -4195 -FAX
MS- 2014 -03185 fi,se of a`' www.blairnebraska.org
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10/29/2014 bpeterse MISC Residential October 29, 2014 �7
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, LOCATION OF IMPROVEMENT: 1938 Park St, Blair, NE 68008
ARCHITECT:
GENERAL Select Siding & Windows, Inc.
OWNER: Reona L Williams CONTRACTOR:
I 5030 S 129th St
1938 Park St Omaha, NE 68137
BLAIR, NE 68008 -0000
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,. . , ....., �..,,, NATURE OF WORK STRUCTURE
Storm Repair Primary Residence
PROJECT NAME PERMIT EXPIRES 10/28/2016
1938ParkSt- 141029 -2014 Storm Damage ESTIMATED COMPLETION DATE 12/3112014
DESCRIPTION OF WORK
Siding replaced on north and west side gutter on west side and front of house.
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.
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 without the intention of the undersigned or any alteration or change from this application without approval of the
Building Official, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
app 'cation.
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Signature of Applicant Date