MS-2015-00222_0001.tif CITYOF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Application (402) 426 -4191 -Phone
(402) 426 -4195 - FAX
MS- 2015 -00222 alO/ hise of a do\` www.blairnebraska.org
04/03/2015 bpeterse MISC 7 Residential April 3, 2015
r LOCATIONOFIMPROVEMENT: 2043 Lincoln St, Blair, NE 68008
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t ARCHITECT:
GENERAL Midwest Homes, LLC
f� OWNER: Federal National Mortgage Assoc CONTRACTOR:
r 10605 108th St
�✓ Weeping Water, NE 68463
DALLAS, TX 75265 -0000
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NATURE OF WORK STRUCTURE
Storm Repair
Primary Residence j
i
PROJECT NAME PERMIT EXPIRES 0410212017
2043LincolnSt- 150403 -2014 Storm Damage ESTIMATED COMPLETION DATE 12/31/2015
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DESCRIPTION OF WORK
Re -roof and gutters.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Eric Sternberg 2043 Washington Street,
Blair NE 68008 REScheck /COMcheck SUBMITTED: 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 without the intention of the undersigned or any alteration or change from this application without approval of the
Building Official, ' u ufficient ground for the revocation of any permit issued which was based on the approval of this
application
Signature o Date