ms-2015-238_0001.tif i
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J, } CITYOFSLAIR
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218 a.16T1`1 aTREET
BLAIR, NEBRASKA 68008
Bu ild ing Pe {402) 426 -4191 - Phone �
° �tl ,o (402) 426 -4195 - FAX
MS -2015-00238
r of a www.blairnebraska.org
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04109 {2015 MISC Co mmercial Apri19, 2015
LOCATIONOFIMPROVEMENT: 530 Front St, Blair, NE 66008
ARCHITECT: GENERAL Jorgensen Contracting, Inc.
tVVNER: Gerald P And Janet L Jorgensen CONTRACTOR:
`. 530 Front St
12113 Jackson St Blair, NE 66008
BLAIR, NE 68008-0000
NATURE OF WORK STRUCTURE
Storm Repair Commercial Building
PROJECT A E PERMIT EXPIRES 04108/2017
530FrontSt- 150409 -2014 Sturm Damage
E S TIM ATED PL. TION DATE 12l3112015
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D ESCRIPTION j
Replace roof, rarest wall, north wall, metal on troth 9 and office Lot 10 commercial buildings includes cupolas total of 3
DEPOSIT PAID ELY: SITE PLAN SUBMITTED. NA
Contractor
RESchecklCOMcheckSUBMITTE3: NA
DEPOSIT STATUS. BUILDING PLAIDS 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 codeslordinances of the City of Blair and the State of Nebraska. Any omission of or misrepresentation of
jadt It ithout the intention of the undersigned or any alteration or change from this application without approval of the
Bull ' i "al sh stitute ent ground for the revocation of any permit issued which was based on the approval of this
re of Appli t Date
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