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CITY OF BLAIR
218 S.16TH STREET
� BLAIR, NEBRASKA 68008 i
(402) 426 -4191 - Phone
Building PCf"f111t l4pplIC1tlOtl (402) 426 -4195 -FAX
www.blairnebraska.org
MS -2014- 0.277 a � O jhIse of
MISC Residential
November 10, 2014
11/10/2014 bpeterse
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ti LOCATIONOFIMPROVEMENT: 763 N 14th St, Blair, NE 68008
' ARCHITECT: GENERAL S & R Roofing Solutions
CONTRACTOR:
c OWNER: Lucas K Sutherland 17235 Rampart St
OMAHA, NE 68136
763 N 14th St
r BLAIR, NE 68008 -0000
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STRUCTURE
NATURE OF WORK primary Residence i
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Storm Repair
PERMIT EXPIRES 11/0912016
PROJECT NAME
763N14thSt- 141110 -2014 Storm Damage ESTIMATED COMPLETION DATE 12/31/2014
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DESCRIPTION OF WORK
Roofing and gutters.
DEPOSIT PAID BY:
SITE PLAN SUBMITTED: NA
Contractor RESchecklCOMcheck 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. he
2. For commercial permits, a set of plans for this proje m ust ti ventilating t and air Off for review.
Condit oning and septic syst
3. Separate permits are required for electrical, plumbing, m.
constitute issuance
4. The undersigned owner or agent understands and a str t dg c overed by permit application shael no commenced until a
this building permit. It is further understood that constructio
copy of a permit signed by the Building Inspector is issued.
5. The undersigned owner or agent agrees to perform th
Blair and State of Nebraska. It Any omission of or misrepresentation a srepresentation
in accordance with the codes /ordinances of the City
of the
fact with or without the intention of the undersigned
he o alterat
f any issued which Ova based on the approva approva
) of this
Building official, shall constitute sufficient ground
application. J4q,/,,o 0 �y
Date
Signat a of Applicant