MS-2015-00205_0001.tif CITYOF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
(402) 426 -4191 - Phone
B uilding Permit Application
9 �' (402) 426 -4195 - FAX
MS- 2015 -00205 A ' °mrs of a www.blairnebraska.org
03/3012015 MISC Residential March 30, 2015
/J LOCATION OF IMPROVEMENT: 582 S 16th St, Blair, NE 68008
ARCHITECT:
GENERAL Donald Andersen & Family
r j OWNER: Shelly Widener CONTRACTOR:
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, 235 S 9th St
582 S 16th St Blair, NE 68008
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BLAIR, NE 68008 -0000
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NATURE OF WORK STRUCTURE
Storm Repair Primary Residence
PROJECT NAME
PERMIT EXPIRES 03/29/2017
582S1 6thSt-1 50330-2014 Storm Damage ESTIMATED COMPLETION DATE 12/3112015
DESCRIPTION OF WORK
Roof
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DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck /COMcheck SUBMITTED: NA
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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 without the intention of the undersigned or any alteration or change from this application without approval of the
Building Official, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
pp ' tion .
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E gnature of Applicant ate