MS-2015-00199.tif i
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CITYOF BLAIR I
218 S. 16TH STREET I
BLAIR, NEBRASKA 68008
ll l' C� 1 i'1 Permit (402) 426 -4191 - Phone
(402) 426 -4195 -FAX !
S- 2015 -00199 ; o ° www.blairnebraska.org
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03/27/2015 ShellyJ MISC Residential March 27, 2015
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LOCATIONOFIMPROVEMENT: 1678 Park St, Blair, NE 68008
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ARCHITECT: GENERAL Omaha Gutter & Siding
OWNER: Faith Mary Pranno
CONTRACTOR:
4441 S 140th St
1678 Park St OMAHA, NE 68137
BLAIR, NE 68008 -0000
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NATURE OF WORK STRUCTURE
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Storm Repair Primary
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PROJECT NAME PERMIT EXPIRES 03126/2017
1678ParkSt- 150327 -2014 Storm Damage ESTIMATED COMPLETION DATE 12/3112015
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DESCRIPTION OF WORK
Residing on north and west side with new gutters.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
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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 Nithout the intention of the undersigned or any alteration or change from this application without approval of the
Building O icial, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
ap licat' j
Signature of Applicant Date