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Building Permit Application (402) 426-4191 - Phone
(402) 4264195 - FAX
�:M-2015-00653 0 01 www.blairnebraska.org
L /10/2015 Residential August 1 201
10974 Cord P29, Blair, NE 68008
GENERAL Home Pride Contractors, Inc.
10974 Co Rd P29 Omaha, NE 68117
BLAIR, NE 68008-0000
0.
I M
BOVINE —2-0
IN
NATURE OF WORK STRUCTURE
Primary Residence
Storm Repair
PERMIT EXPIRES 08/0912017
PROJECT NAME
10974Cord P29-150810-2014 Storm Damage ESTIMATED COMPLETION DATE 1213112015
DESCRIPTION OF WORK
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
1REScheck/COMcheck SUBMITTED: NA
DEPOSIT STATUS:
BUILDING PLANS SUBMITTED: NA
1.Nn work will be started before o permit {o 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, p}umhing, hmahng, ventilating and air conditioning, and septic system.
4. The undersigned owner or agent understands and acknowledges this building ponn|t application does not uonoUbde issuance of
this building permit. It is further understood that construction covered by this permit application shall not be commenced until a
copy of permit signed by the Building Inspector is issued.
5. The undersigned owner or agent agrees to perform the proposed work in accordance vlit the specificat set forth above and
in accordance Withthe codes/ordinances of the City of Blair and the State of Nebraska. Any omission ofor misrepresentation nf
fact with ur without the intention of the undersigned or any alteration or change from this applicat without approval of the
B Offi | etitu te sufflicent ground for the revocation of any permit issued which was based on the approval ofthis
Signature of licant