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CITYOFBLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Application (402) 426 -4191 -Phone
(402) 426 -4195 - FAX
MS- 2015 - 00294 A 'e� , se o1 a o °` www.blairnebraska.org
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04/23/2015 MISC Residential April 23, 2015
r LOCATION OF IMPROVEMENT: 2225 Wright St, Blair, NE 68008
ARCHITECT:
�h GENERAL Thompson Roofing
OWNER: Eastern Nebraska Human Services Agency
CONTRACTOR:
4� 4436 S 12th St
900 S 74th Piz Ste 200 Omaha, NE 68107
OMAHA, NE 68114 -0000
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NATURE OF WORK STRUCTURE
Storm Repair Primary Residence
PROJECT NAME PERMIT EXPIRES 04/22/2017
2225WrightSt- 150423 -2014 Storm Damage ESTIMATED COMPLETION DATE 12/31/2015
DESCRIPTION OF WORK
Roof and Gutters.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck /COMcheckSUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS 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 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 Official, shall c t' e sufficient ground for the revocation of any permit issued which was based on the approval of this
- Ap plication.
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