MS-2015-00186.tif i
CITYOF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Bu ilding Per Applica (402) 426 -4191 -Phone
(402) 426 -4195 - FAX
S -2015 -00186 Ise of a%ff www.blairnebraska.org
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03/25/2015 Shelly) MISC Residential March 25, 2015
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A LOCATION OF IMPROVEMENT: 9570 Pine Crest Rd, Blair, NE 68008
w 0 ARCHITECT: GENERAL Castillo Exteriors
f OWNER: Aaron K And Amy S Mcclain CONTRACTOR:
4229 Marcy St
9570 Pine Crest Rd Omaha, NE 68105
BLAIR, NE 68008 -0000
MOORE, ..
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,PON
NATURE OF WORK STRUCTURE
Storm Repair Primary
PROJECT NAME PERMIT EXPIRES 03/24/2017
9570PineCrestRd- 150325 -2014 Storm ESTIMATED COMPLETION DATE 12/31/2015
Damage
DESCRIPTION OF WORK
Reroof and siding
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.
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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
/application.
Date
Signature of App nt