MS-2015-00545_0001.tif 0710212015 07:39 (FIX) P.0011001
CITYQFBiPAIR j
218 S. 98TH STREET
BLAIR, NEBRASKA 68008
(4as) 426 -4 993 - FAx
Building P ermi t (402) 426 -4101 - Phone'
.�#
IS4015 -00545 F mrBe 0i a� www.blelrnebreaka.org .
'101120116 MISC Residential July 1; 201
,LO
OATIONOFIMPkOVEMENT: 90,36 Wesitridge'ar,'Blair,,NE 66006
ARCHITECT:
l GENERAL Total Constructi Services, Inc
ri OWNER: Roger L And Phyllis F,Co Trustees, Barbdr CONTRACTOR
6727 N. Stith► St
1056 Wetstrldge Dr Omaha, NE 69152
PIN
• BLAIR, NB 88008 -1059
�t
k �... v ` r 'ia : �1 �'� + '• ° fit �',• ���•• +';� ='S'" +. � � � ;}
'r'' {'a4�'Y'4°'7ti:::'
NATURE OF WORK STRUCTURE
Storm Repair Primary R
)ROJECT NAME
PERMIT EXPIRES 06/3012097
9.056We$t:rid1geDr.9 50701 -2014 Storm
Damage ESTIMATED: COMP LETION DATE 12/39/2095
)OCRIPTION CAF WOR
Re -roof; gutters; windows.
BPQ$IT PAID BY:. $ITE'PLAN SUBMITTED: NA
Contractor
REScheck/COMcheck SUBMITTED: NA
1BPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
$60 ,
6�.p:' l �A ,;.1iti: ' «i'•.'�'L ,Y'�:6'vYu, ". .r. ,J yy ., ` .,,,
� — 'c +M+ r, a Y • t . " - i- - 5F "E : `,Y +l7iE 2 `h1r 'G 4 w
No'work VkI be started before.a.permit is ISSUED AND POSTED..
Fot commercial permits, a.set of plans for this project must be sub(nittad to the Nebraska State Fire Marshalis.Office for review.
Separate permits are required lot electrical, plumbing, heating, ventilating and air coridit),oning, and'septic system:
The undersigned owner or agent. understands and acknowledges'thts building' permit'application' does not isauance of
this building perrnit: ItIs' further understood that constructi6n covered by this permlt,applfcation shall not be cohimenced' until a'
copy of a permit signed by'the Building Inspector is Issued.
. The undersigned owner or agent agrees to perform the proposed Work In, accordance with the speoitioations.set foith 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 orange from this application wlthput approval,.of the
Building Offiafai, sh II onstit s icfant ground for the' revocation of any permit issued which was based on the approval of this
application.
' P
Inature of Applicant Dat
I