ms-2015-226_0001.tif CITY OF BL -AIR
218 S.16TH STREE 68008
BLAIR,NEBRAS Phone
(402) 426 -4191 -
I1Cat'on (402) 426 -4195 -FAX
erMit App www .blairnebraska.org
o inJ
April 6, 20
002 20 � of o• Residential
MS.2015- V Mlsc
0410612 ton St, Blair,
w NE 68008
Triple J Construction
CONTRA
LOCATIONOFIMPROVEMENT: 1955 1990 Wagner Rd
NE 6802
q � ARCHITECT FREMON
OWNER: Darrell
d Logemann
1
PO NINGTON, NE 68007 -0000
BEN � ggn
N� r
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f
. ✓,� �"� --: ,y
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ST RI 1
lJ
P Residence
tr cj rimary
0410512
NATURE OF W IT EXPIRES
Storm R PERM
NAME TIMATED COMPLETION DATE
1213112
PR OJECT ES
1955W ashingtonSt- 150406 -2014 Storm
Dam age
DES CRIPTION OF W OR K
Siding
NA
SITE PLAN SUBMITTED:
DEPOSIT PAID B
eck SUBM ►TIED: NA
RESchecklCOMeh NA
Contractor PLANS S UBMITTED:
BUILDING
DEPOSIT STATUS'
$50
l
.r
�` I s office for rev
z Marshal's
State Fire M
A ND POSTED. Nebraska stem.
,� �_ ��� �� tic system.
;a ��° r "�� submitted to the and Sep constitute iss'
,�;, .r�,.. ermit is ISSUED does not
O MNI P roject must be and air conditionm9� ence
1 N work
laps for this p 1 ventilating ermit applicat comm
will be started be p o set o plumbing, heating,
ercia permits es this building ermit application shall not be
2 For comm l wired for electrical p and acknowledg overed by this p
3 Separate permits are regor agent understands
° Wner with the specifications set fort es
4. The u ndersigne d a ccordance omission without apprc
of or misrep
Inspector is issued. Sed work In aska. Any n
this bui
permit It is further undierstood that s isstructto °
lding pe ned Butldt g er top ebr licatio
the p the State of N this app sig by the or agent agrees top form of Blair and or change from based on the appr
copy of a permit
ned owner of the City alteration which was
5. The undersig With the codeslordl of the
undersigned °r any of any permit issued
in accord the intention round for the revocation
r
fact with official, shall constitute sufficient ground
Building
a I•c tion.
.
re of Applicant