ms-2015-392_0001.tif May 18 15 04:21 p Takoda Green Roofing 402-885-8295 p' 1 j
CITY OFBLAIR
218 S -16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Application (402) 426-4191 - Phone
(402) 426-4195 - FAX
ISO ot www.blairnebraska.org
0511=015 lbpeterse MISG �Residential May 18, 20
7
LOCATIONOFIMPROVEMENT: 592 N 24th St, Blair, NE 68008
ARCHI
GENERAL Takoda Green Inc
CONTRACTOR:
OMER: Kristin IN Rhoades
2905 N 59th St
592 N 24th St OMAHA, NE 68104
BLAIR, NE 68008-0000
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M
ME
. . . . . . . . . .
Primary Residence
M NATURE OF WORK STRUCTURE
STR
Storm Repair
PERMIT EXPIRES 05117/2017
PROJECT NAME
592N24thSt-150518-2014 Storm Damage ESTIMATED COMPLETION DATE 1213112D15
DESCRIPTION OF WORK
Roof and gutters.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor RESchecWCOMchock SUBMITTED- 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
Buildin Ouff Icial, shall constitute s nt ground for the revocation of any permit issued which was based on the approval of this
a cation.
Dat
;Ig !>"Pplicant