MS-2014-02825_0001.tif CITYOF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Application (402)426 -4191- Phone
(402) 426 -4195 - FAX
MS - 2014 -02825 ' °G 01 www.blairnebraska.org
09/22/2014 MISC Residential September 22, 2014
LOCATIONORMPROVEMENT: 2832 Sunrise Dr, Blair, NE 68008 j
r 3 ARCHITECT: GENERAL Warrick Construction Co.
OVIMER: Gary H And Virginia L Kirch CONTRACTOR:
1114 James Dr j
t .
2832 Sunrise Dr Blair, NE 68008
BLAIR, NE 68008 -4005
'�E`v s Jd 4 2 F ,2 7 STRUCTURE
Primary Structure PERMIT EXPIRES 09/21/2016
2832SunriseDr- 140922 2014 Storm Damage
ESTIMATED COMPLETION DATE 12131/2014
DESCRIPTION OF WORK
Replace vinyl siding on north and west sides
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
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 t e intention of the undersigned or any alteration or change from this application without approval of the
Buil ing Official, shall can titute sufficient grouo for the revocation of any permit issued which was based on the approval of
this pplication.
Date
Signature of Applicant