MS-2015-00393_0001.tif I
CiTYOFBLAIR
218 S. 16TH STREET
BLAIR NEBRASKA 68008
s i u1 Mn ! ermi Applic {402} 426 -4191 - Phone
MS -20'I 5.p ®393 �°ro 4 Ca Il ( 426 - 4195 - FAX
mrse of °f " www.blairnebraska.org
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05119/9015 MISC Residential May 19, 2015
#; LOCATIONOFIMPROVEMENT: 1031 Park St, Blair, NB, pOO8
ARCHITECT: I
GENERAL Complete Exteriors
OWNER; Karene Brenton And Raymond R Ryan CONTRACTOR-
7805 L St
1031 Park St OMAHA NE 68127
BLAIR, NE 68008-0000
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NATURE OF WORK STRUCTURE
Storm Repair Pri Residence
PROJECT E
PERMIT EX PIRES 05/18/2017
1031ParkSt- 150518 -2014 Storm Damage
ESTIMATED COMPLETION DATE 12/31!2015
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DESCRIPTION OF W ORK j
Roof and gutters.
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DEPOSIT PAID BY- SITE PLAN WITTED; ILIA
Contractor
REScheckhu 3Mcheck SUBMITTED: NA
DEPOSIT STATUS. BUILDING P APES SUBMITTED: NA
$50
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1. No work will be started before a permit is ISSUED AND ,OSTED.
2, For commercial permits, a set of plans for this project rr. J `st be submitted to the Nebraska State Fire Marshal's Office for review.
3. Separate permits are required for electrical, plumbing, h 'ating, ventilating and air conditioning, and septic system.
4. The undersigned owner or agent understands and act 'owledges this building permit application does not constitute issuance of
this building permit. it is further understood that consti uktion covered by this permit application shall not be commenced until a
copy of a permit signed by the Building Inspector is issu d.
5• The undersigned owner or agent agrees to perform th proposed work in accordance with the specifications set forth above and
in accordance with the codes /ordinances of the City of 31air and the State of Nebraska. Any omission of or misrepresentation of
fact with or without the intention of the undersigned any alteration or change from this application without approval of the
Building Official, shall constitute sufficient ground for th , revocation of any permit issued which was based on the approval of this
plication.
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Signature of Applicant Date
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