ms-2015-273_0001.tif CITYOF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
(402) 426 -4191 - Phone
B uilding ermitApliction
(402) 426 -4195 - FAX
MS-2015-00273 p � o0 7JSe o1 Q
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0412012015 bpeterse MISC Residential April 20, 2015
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LOCATIONOFIMPROVEMENT: 1751 Grant St, Blair, NE 68008
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ARCHITECT:
GENERAL Royalty Roofing
OWNER: Alaina M Salvatore CONTRACTOR:
3519 N 53rd St
r(� 1751 Grant St OMAHA, NE 68104
BLAIR, NE 68008 -0000 C
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STRUCTURE
r Primary Residence
AME
PERMIT EXPIRES 04/19/2017
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1751 GrantSt-1 50420-2014 Storm Damage 12/31/2015
ESTIMATED COMPLETION DATE
DESCRIPTION OF WORK
Repairing Roof and Siding after original contractor left homeowner and did not come back to repair the roof or siding.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
$50
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 without the intention of the undersigned or any alteration or change from this application without approval of the
Building �2ial, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
applica p ^:
Date
Signature of Applicant