MS-2010-00123_0001.tif From:MCKINNIS ROOFING & SHEET METAL 402 426 2344 09/27/2010 14:57 #716 P.003 /003
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CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Application (402)428- 091-Phone
r (402) 426 -4195 - FAX
MS-2010-00123 p 'aM� :s of a °o�~� www.blairnabraske.org
0812#!2010 MlSC Residential September21, 2010
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':'' x LOCATtoNOFiMPftOVEMENT: 2411 Meadow Dr, Blair, NE 88008 '
Y ARCHITECCI
k GENERAL McKinnis Roofing & Sheet Metal
oVUNER: Steven C And Melanie b Boston CONTRACTOR: 16451stSt �
' 2411 Meadow Dr Blair, NE 68008
BLAIR, NE 68008 -0000
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NATURE OF WORK PR USE
Roofing/Soffit/Eaves /Gutters Primary Residence
PERMIT EXPIRES 0912012Q12 j
PROJECT NAME
2411MeadowDr- 100921 -Roof 2010.09 -21 �
ESTIMATED COMPLETION DATE
DESCRIPTION OF WORK
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Remove and replace roof with asphalt shingles.
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DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheckSUBMITTED 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
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Date
Signature otAppiicant /
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