MS-2015-00085_0001.tif cmroFBLAIR
218 8.16TH STREET
BLAIR, NEBRASKA 68008
Building Permit {402) 426.4191 - Phone
v (402) 426 -4195 - FAX
S- 2015 -00085 ss °
/so www.blairnebraska.org
1 IN MEN=
02124/2015 MISC Residential February 24, 2015
LOCAMONOFIMPROVEMENT, 1839 Dark St, Blair, NE 68008
ARCHITECT:
GENERAL Jorgensen Contracting, Inc.
OWNER: Micky D And Consolacion Scott CONTRACTOR:
530 Front St
1839 Park St Blair, NE 68008
BLAIR, NE 68008 -0000
Ll
NATURE OF WORK STRUCTURE
Storm Repair Primary Residence
PROJECT NAME PERMIT EXPIRES 02123/2017
I
1839ParkSt- 150224 -2014 storm Damage ESTIMATED COMPLETION DATE 2/2412015
i
I
DESCRIPTION OF WORK
Replace north and west walls and roof of pole building -metal trim and doors.
i
I
DEPOSIT PAID BY: SITE FLAN SUBMITTED: NA
Contractor
REScheck /COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
$50
t
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 " ion of th undersigned or any alteration or change from this application without approval of the
ildi g O iciai, sha constitu# suff' en ground for the revocation of any permit issued which was based on the approval of this
appli on
Si n ture of Applican Date
i