MS-2015-00381.tif co ic A
CITYOF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
it in Permit Application (402) 426 -4191 -Phone
(402) 426 -4195 - FAX
MS- 2015 -00381 '�n, ei � www.blairnebraska.org
05/14/2015 ShellyJ MISC Residential May 14, 2015
LOCATIONOFIMPROVEMENT: 1964 Washington St, Blair, NE 68008
ARCHITECT: GENERAL Allied Awning Co.
O WNER: Russell A And Valorie Myn Hedges CONTRACTOR:
6319 Ames Ave
1964 Washington St OMAHA, NE 68104
BLAIR, NE 68008 -0000
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NATURE OF WORK STRUCTURE
Storm Repair Primary
PROJECT NAME PERMIT EXPIRES 05/1312017
1964WashingtonSt-1 50514-2014 Storm ESTIMATED COMPLETION DATE 513112015
Damage
DESCRIPTION OF WORK
Replace awning on SE corner of house only, replacing with aluminum
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
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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 intenti of ^ undersigned or any alteration or change from this application without approval of the
B 'Iding Official, shall constitut ffi ien ground for the revocation of any permit issued which was based on the approval of this
ication.
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Sig ature o -P i Date
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