ms-2015-00450_0001.tif CITY OF BLAIR
218 S.16TH STREET
BLAIR, NEBRASKA68008
`IIl 1�1 Permit Application (402) 426 -4191 - Phone
MS 2015 -00450 (402) 426 -4195 -FAX
-2015-00450 ot ° www.blairnebraska.org
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06/02/2015 MISC Commercial June 2, 2015
LOCATION OF IMPROVEMENT: 1133 N 28th Ave, Blair, NE 68008
ARCHITECT:
GENERAL Absolute Roofing
>: OWNER: First Christian Church CONTRACTOR:
17330 W Center Rd Ste 110 -145
r : OMAHA, NE 68130
BLAIR, NE 68008 -0000
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NATURE OF WORK STRUCTURE
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Storm Repair Primary Residence
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PROJECT NAME
PERMIT EXPIRES 06/01/2017
11 33N28thAve-1 50602-2014 Storm Damage ESTIMATED COMPLETION DATE 1213112015
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DESCRIPTION OF WORK
Roof, Siding and Gutters.
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DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheckSUBMlTTED: 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 constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
applica 'on.
June 2, 2015
Signature of Applicant Date
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