MS-2015-00035_0001.tif i
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CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
I�� Building Permit Application (402) 426 -4191 -Phone
(402) 426 -4195 - FAX
S :20 15 -0 117, a , www.blairnebraska.org
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01/27/2015 MISC Commercial January 27, 2015
LOCATIONOFIMPROVEMENT: 10194 S Hwy 75, Blair, NE 68008
ARCHITECT: GENERAL Welter Construction LLC
n OWNER: Living Hope Christian Center CONTRACTOR:
6 8140 Arthur St NE Ste I
Spring Lake Park, MN 55432
BLAIR, NE 68008 -0000
ONE
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NATURE OF WORK
STRUCTURE
Storm Repair Living Hope Church
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PROJECT NAME PERMIT EXPIRES 01126/2017
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10194SH 75- 150127 -2014 Storm Damage
wY ESTIMATED COMPLETION DATE 4/27/2015
DESCRIPTION OF WORK
Steel Roofing 90 square steel siding 20 square.
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. j
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 wi without the intention of the undersigned or any alteration or change from this application without approval of the
Building O cial, shall constitute sufficient ground for the revocation of any permit issued which was based on the ap royal of this
appJicatia .
Signature of Applicant Date
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