MS-2015-00182_0001.tif f
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CITYOFBLAIR
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218 S.16TH STREET
BLAIR, NEBRASKA 68008
° Building Permit Application (402) 426 -4191 - Phone
MS -20'15 -00182 A 'o . �0���, (402) 426 -4195 - FAX
muse of a www.blairnebraska.org
03/19/2015 bpeterse MISC Residential March 20, 2015
LOCATIONOFIMPROVEMENT 12896 Cord P26, Blair, NE 68008
�- ARCHITECT GENERAL. Jorgensen Contracting, Inc.
OWNER: Robert A And Or Linda L Olson CONTRACTOR:
530 Front St
12896 Co Rd P26 Blair, NE 68008
BLAIR, NE 68008 -0000
NATURE OF WORK STRUCTURE
Storm Repair Accessory building
PROJECT NAME PERMIT EXPIRES 03/19/2017
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12896Cord P26 - 150319 -2014 Storm Damage
ESTIMATED COMPLETION DATE 1213112015
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DESCRIPTION OF WORK
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Replace roof west and north wall, overhead door, cupola, and window metal on pole building
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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 i
fact with or without the intention of the undersigned or any alteration or change from this application without approval of the
Bull cji ici shall co itut s is nt ground for the revocation of any permit issued which was based on the approval of this
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Sign ure of Applicant Date