MS-2015-00143_0001 (2).tif CITYOF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
B uilding Permit Application (402) 426 -4191 - Phone
MS- 2015 -00143 a�� (402) 426 -4195 - FAx
fi /se of a www.blairnebraska.org
03/16/2015 brwheele MISC Residential March 16, 2015
N LOCATIONOFIMPROVEMENT: 1455 S Hwy 75, Blair, NE 68008
ARCHITECT:
GENERAL Astro Buildings, Inc.
� OWNER: Virgil G And Shirley E Wrich CONTRACTOR:
1109 S 19th Suite A
n 75 1455 s Hwy Omaha, NE 68108
�. BLAIR, NE 68008 -0000
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NATURE OF WORK STRUCTURE
Storm Repair Accessory Building
PROJECT NAME PERMIT EXPIRES 0311512017
1455SHwy75- 150316 -1 ESTIMATED COMPLETION DATE 12/31/2015
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DESCRIPTION OF WORK
Replacing steel roof on outbuilding only.
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.
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 withVshallco ention of the undersigned or any alteration or change from this application without approval of the
Buildi Offici I, itute suffic ient ground for the revocation of any permit issued which was based on the approval of this
appli ' n.
Signa ure of Applicant Date
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