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CITYOF BLAIR
218 S.16TH STREET
BLAIR,NEBRASKA 68008
UI Ii1 Permit @llIt p lICation (402)426-4191 -Phone
(402)426-4195-FAX
MS-2015-00825 ,�Jse of ao www.blairnebraska.org
09/28/2015 MISC Residential September 28,2015
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LOCATION OF IMPROVEMENT: 1431 Grant St, Blair, NE 68008
' ARCHITECT:
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GENERAL Done Right Home Improvements
OWNER: Garold A And Jeanne M Hall CONTRACTOR:
7896 Serum Ave
1431 Grant St RALSTON NE 68127
/ BLAIR,NE 68008-0000
1101-
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NATURE OF WORK STRUCTURE
Storm Repair Primary Residence
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PROJECT NAME PERMIT EXPIRES 09/27/2017
1431GrantSt-150928-2014 Storm Damage 12/31/2015
ESTIMATED COMPLETION DATE
DESCRIPTION OF WORK
Re-roof
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DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheck 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
Building Official, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
application.
�g 9/28/2015
Signature of A licant Date
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