ms-2015-256_0001.tif I
CITYOF BLAIR
218 S.16TH STREET
BLAIR, NEBRASKA 68008
(402) 426 -4191 - Phone
Building Permit Application (402) 426 -4195 - FAX
www.blairnebraska.org
MS -2015 -00256 ° Mise 0i Q °\
04/16/2015 brwheele MISC
Residential April 16, 2015
LOCATIONOFIMPROVEMENT: 1067 Park St, Blair, NE 68008
i
r ARCHITECT: GENERAL Big Blue Construction
r CONTRACTOR:
r OWNER: Robert H And Kathleen Hansen 2330 Keystone Dr
OMAHA, NE 68134
BLAIR, NE 68008 -0000 j
IN
I
w S w 0"
STRUCTURE
NATURE OF WORK Primary
Siding 7 PERMIT EXPIRES 04/15/2017
PROJECT NAME
1067ParkSt- 150416 -2014 Storm Damage ESTIMATED COMPLETION DATE 4/3012015
DESCRIPTION OF WORK
Replace vinyl siding on house and garage
DEPOSIT PAID BY:
SITE PLAN SUBMITTED: NA
Contractor REScheck /COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
$50
r . e
mom
1. No work will be started before a permit is ISSUED AND POSTED.
2. For commercial permits, a set of plans for this project
ventilating mitt to and the
air condition ng, and septic syst Office for review.
3. Separate permits are required for electrical, plumbing, heating, m.
constitute issuance
4. The undersigned owner or agent understands and t c oa st u tl
ion c covered building
ed byt t
his permit application shall not be commenced until a
this building permit. It is further understood tha
copy of a permit signed by the Building Inspector is issued.
5. The undersigned owner or agent agrees to perform the
of Blair State of Nebraska. 'tAny specifications set forth
or misrepresentation bnof work in accordance
in accordance with the codes /ordinances of the C y without
of the
fact with or without the intention of the undersigf ed he r revoc revocation of any any or
su wh ch Ova based on the approva of this
Building Official, shall constitute sufficient ground
application.
Date
Signat of pp icant