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MS-2015-429_0001.tif CIT"YOFBLAIR 218 S. 16TH STREET BLAIR, NEBRASKA 68008 Bu ild ing m 1 App licat ion (402) 4264151 - Phone 201 - 00429 (402) 426 -4195 - FAX Wise or au www.blairnebraska.org 05127/2015 MISC Commercial May 27, 2015 LOCATIONOFIMPROVEMENT: 12664 Cord 26, Blair, NE 68008 ARCHITECT: GENE RAL OIMVER: Paul K And Cindy L Christensen CONTRACTOR: Jorgensen Contracting, Inc, 969 N 24th Ave 530 Front St BLAIR, NE 68000-19000 Nair, NE 680013 i A°CIJ t: OF VV URK STRUCTURE Storm Repair Pole Barn PRO JECT NAME PERMIT EXPIRES 05126/2017 12664Cord 26-150527-2014 Storm Damage ESTIMATED COQ LET! N CRATE 12/31/2015 D ESCRIPTION OF WOR Replace roof, west and north wails, west and north overhead doors, 1 walk door and gutters all for Role Barn. ! DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA Contractor REScheaklCOMcheck NA DEPOSIT STATUS: $50 BUILDING PLANS SUBMITTED: NA � besta1. Na ��_ work will rted before a permit is ISSUED AND P ©STED. 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 1 , wild' ffici cons 'tut icient ground for the revocation of any permit issued which was based on the approval of this ap catio . ignature of App) ant Date