MS-2015-00173_0001.tif -
CITYmpoLAIR -
218S.1GTH$TREET
(402) 426 - Phone
Building Permit Appl ication
(402) 4264195 - FAX
0311912015 bpeterse Residential March 20, 2016
u}CATIONoF|MPROuEMsmT' 13339 Hwy 91, Blair, NE 68008
ARCHITECT-.
msmspm' Jorgensen Contracting, Inc.
DVN«BR Victor ^3And MymoaJ 8rxmm CONTRACTOR:
53D Front St |
|
9113839 State Hwy Blair, NE 68008 .-
BL&}R,0E 680*8-0000
NATURE OF WORK STRUCTURE
Storm Repair Accessory Building
PROJECT NAME PERMIT EXPIRES 0311912017
13339Hwy 91-160319-2014 Storm Damage ESTIMATED COMPLETION DATE 1213112015
DESCRIPTION OF WORK
Replace roof - north and west walls and 1 door-shop building Same roof, west, north -sheep building, roof
cattlelwood shed.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor REScheckfCOMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
1. No work will be started before mpermit is ISSUED AND POSTED.
2. For commercial pen a set of plans for this project must be submitted to the Nebraska State Fine Marshal's Uffiva for review.
3. Separate permits are required for electrical, p}umb|ng, heating, ventilating and air conditioning, and septic system.
4. The undersigned owner or agent understands and acknowledges this building permit application dumm not constitute bmuonoa of
this building punnd. It is further understood that construction covered by this permit application shall not be commenced until o
copy of permit signed by the Building Inspector is issued.
6. The undersigned owner or ogard 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 mfithoui approval of the
fo the revocation of any permit issued which was based on the oppnmeU of this
Date
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