MS-2015-00787.tif i
CITYOFBLAIR
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Building (402)420-4191 - hone
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LOCATIONOFIMPROVEMENT' 1904 South St, Blair, NE 68008
JE AL Hometown Roofing, Inc. �
r � dytor Oil Co, Inc art AcTc :
13316 Millard Ave
PO Box 648 Omaha,his $8137 �
BLAIR,NF 6600666
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NATURE O STRUCTURE
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Sttartt'r Repair Prirn r Residence
PERMIT EXPIRES 0911312017
PROJECT NAME
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196 South t-156914.2 14 Storm Damage
ESTIMATED COMPLETION DATE 11213112015
DESCRIPTION OF WORK
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Re-roofing commercial bollcling wilt'@ rock.
DEPOSIT I "Y; SITE PLAN SUBMITTED: N
Contractor
jREScheck/COMcheck SUBMITTED- N
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: N
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1 No work will be started before a permit is ISSUED AND POSTED,
2, For commercial permits, a set of plans for this project roust be submitted to the Nebraska$tate 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.
t The undersigned owner or agent agrees to perforin the proposed work in accordance with the specifications set forth above and
in accordance with the codeslordin nces,of the City of Slab and the Stag of Nebraslta. Any omission of or misrepresentation of
tact with or without the Intention of the undersigned or any alteration or change from this application without approval of the;
Building Official, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
ap lication
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Sigma tare of A,pplieant Date