MS-2015-00236_0001.tif I
CITYOFBLAIR j
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
(402) 426 -4191 - Phone
Building Permit Application
(402) 426 -4195 - FAX
MS- 2015 -00236 1 0 ";se of a° www.blairnebraska.org
04/09/2015 bpeterse 77 7ISC Residential April 9, 2015
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r1m LOCATIONOFIMPROVEMENT: 1307 Colfax St, Blair, NE 68008
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ARCHITECT:
r GENERAL Bland The Roofer, Inc.
� a OWNER: Kevin J Warrick
CONTRACTOR:
1332 Washington
M 1307 Colfax St Omaha, NE 68107
GLAIR, NE 68008 -0000
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NATURE OF WORK STRUCTURE
Storm Repair Primary Residence
PROJECT NAME PERMIT EXPIRES 04/08/2017
1307ColfaxSt- 150409 -2014 Storm Damage ESTIMATED COMPLETION DATE 12/31/2015
DESCRIPTION OF WORK
Re -roof house and garage.
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 without the intention of the undersigned or any alteration or change from this application without approval of the
Building Official, shall constitute suffici t ground for the revocation of any permit issued which was based on the approval of this
application. �-
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Sign a re pplicant Date