MS-2014-03367.tif i
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CITYOFBLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
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MS- 2014 -03367 —10 /Se 01 q0�`` www.blairnebraska.org
IN
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12/1712014 bpeterse MISC Residential December 17, 2014
LOCATIONOFIMPROVEMENT: 1069 N 26th Ave, Blair, NE 68008
ARCHITECT:
GENERAL Joshua Seward Construction Services
OWNER: Rodney A And Joyce S Storm CONTRACTOR:
2304 N 70th Ave
Y1 1069 N 26th Ave OMAHA, NE 68104
BLAIR, NE 68008 -0000
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NATURE OF WORK STRUCTURE
Storm Repair Primary Residence
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PROJECT NAME
PERMIT EXPIRES 12/16/2016
1069N26thAve- 141217 -2014 Storm Damage 12/31/2014
ESTIMATED COMPLETION DATE
DESCRIPTION OF WORK
Vinyl siding.
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DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheckSUBMITTED: 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 cons ' ute sufficient ground for the revocation of any permit issued which was based on the approval of this
app icat'on.
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Sig ure o Applicant Date
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