ms-2015-279_0001.tif CITYOF BLAIR
218 S.16TH STREET
BLAIR, NEBRASKA 68008
_ (402) 426 -4191 - Phone
Building Permit Applicat (402)426- 4195 -FAX
www.blairnebraska.org
MS -2015 -00279 to ise of
04/2
1/2015 Shelly)
MISC Residential April 21, 2015 77
LOCATIONOFIMPROVEMENT: 2744 College Dr, Blair, NE 68008
� ARCHITECT: GENERAL Buckshot Exteriors
CONTRACTOR:
OWNER: Kevin S And Linda Fleming 4622 S 85th St
® 2744 College Dr OMAHA, NE 68127
BLAIR, NE 68008 -0000
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NATURE OF WORK STRUCTURE
Primary
Storm Repair
PERMIT EXPIRES 04/20/2017
PROJECT NAME
2744CollegeDr- 150421 -2014 Storm Damage ESTIMATED COMPLETION DATE 12/31/2015
DESCRIPTION OF WORK
Reroof and siding
DEPOSIT PAID BY:
SITE PLAN SUBMITTED: NA
Contractor
RESchecklCOMcheckSUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
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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
omission of or misrepresentation of
in accordance with the codes /ordinances of the City of Blair and the State of Nebraska. Any
fact with or without the intention of the undersigned or any alteration or change from this application without approval of the
Building Official, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
ap / plication. "
- Z
Date
Signature oA a icant