MS-2015-00071_0001.tif 02-23-'15 15:05 FROM- Absolute Customs T -277 P0001/0001 F -365
CITYGFBLAIR
218 S,1 G TH STREET
13 LAIR, NEBRASKA68008
Buil P Application (402) 426 -4191 - Phone
M$- 2015 -00071 '° `� (402. 426 -x195 - FAX
°jnrs� nt www.blairnebraska.org
)2/17/21115 ShellyJ MISC Residential February 23, 2015
I
LOCATICNOFIMPROVEME 2733 W Hwy 91, Blair, NE 68008
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ARCHFTECT:
s GENERAL Absolute Roofing
OWNER: Jeffrey R And Michaels L Hume CONTRACTOR:
11350 W Center Rid Ste 110 -145
91 2733 State Hwy OMAHA, NE 68130
BI-AIR, NE 68008 -0451
NATURE OF WORK STRUCTURE
Storm Repair
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PROJECT NAME PERMIT EXPIRES 02/16/2017
2733WHwy 91- 150217 -2014 Storm Damage ESTIMATED COMPLETION DATE 12/31/2015
DESCRIPTION OF WORK
Reroof, gutters and siding
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
R EScheck/COMch e c k SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
$50
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 f=ire Marshal's Office for review.
3. Separate permits are required for electrical, plumbing, heating, ventilating and air Conditioning, and septic syst
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 Q icial, shall constit t fficient ground for the revocation of any permit issued which was based on the approval of this
applipa n.
Date
't ~ cure of Applicant