MS-2015-00496_0001.tif CITYOF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
-Building Permit Application
(402) 426 -4191 - Phone
'O�o � ��`���. (402) 426 -4195 -FAX
MS -2�� 5-00496 '
m /se of a www.blairnebraska.org
06115/2015 MISC Commercial June 15, 2015
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LOCATIONOFIMPROVEMENT: 770 Washington St, Blair, NE 68008
ARCHITECT: GENERAL SWI Windows Doors & More
OWNER: Kent E And Sandra S Long CONTRACTOR:
203 E 7th St
2450 Lincoln St LOGAN, IA 51546
BLAIR, NE 68008 -1842
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NATURE OF WORK STRUCTURE
Storm Repair Long's Tire Service
PROJECT NAME PERMIT EXPIRES 06/14/2017
770WashingtonSt-1 50615-2014 Storm ESTIMATED COMPLETION DATE 1213112015
Damage
DESCRIPTION OF WORK
Re -roof.
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DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COM check 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
Buildin 4,,rcial, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
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Date
Si a�#ure of Applicant