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-.. 213 S. 16TH STREET
BLAIR, NEBRASKA 68008
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Bu Perm {0} 4264191 d Phone
(402) 426 419 - FAX
M S-2014-0332 1 `�;'`
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121Q121
b eter I .ISC Residential D ec e mber 3 2014
LOCATION OFIMPROVEMENT: 2207 South St, flair, NE 68008
AI C} Il ECT: GENERAL Husker Siding & Windows Inc.
WINER: Kent W And Wf Thormas CONTRACTOR:
1488 Veterans Dr
2207 South St Elkhorn, NE 88022
BLAIR, NE 68008-0000
NATURE OF WORK U TURF
Storm Repair Primary Residence
PR OJECT A P ERMIT EXPIRES 12/02/2016
2207SouthSt- 141203 -2014 Storm Damage 12/31/2014
ES TIM ATED COM PLETIO N GATE
DESCRIPTION OF WORK
Re- siding 16 squares.
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 pleas for this project roust be submitted to the Nebraska State Eire Marshal's Office for review,
3. Separate permits are rewired 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 commenceca 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 con titute sufficient ground for the revocation of any permit issued which was based on the approval of this
application,,
Signature tit Api n_ Date