MS-2010-00101_0001.tif S
From,MCKINNIS ROOFING & SHEET ME TA L 402 426 2344 09/29/2010 13;35 #724 P.0021003
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CITY OF BL.AIR
218 S. 16TH STREET i
BLAIR, NEBRASKA 68008 j
n Building Permit Application (402)426. 4191 -Phone
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(402)426-4496-FAX
MS -2010- ®0401 pmt„ a, Qu a www.blaimebmska.org
09/09/2010
MISC Residential September 9,
1.00ATIONDFIMPROVEMENT: 2811 Westridge Dr, Blair, NE 68008
ARCHITECT:
a CONMACMR: McKinnis Roofing & Sheet Metal
a 0VMR: Todd And Laurie Wick 164 $1st St
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2811 Wsstridge Dr Blair, NE 68008
BL.AiR, NE 68008 -0000
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NATURE OF WORK PROPOSED USE
Roofing /SoftitlEaves/Outters Primary Residence
PROJECT NAME PERMIT EXPIRES 0910812012
2811WestridgeDr 100909 -Roof ESTIMATED COMPLETION DATE 2010.09 -09
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DESCRIPTION OF WORK
Roof replacement asphalt shingles. Some siding repair as well
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DEPOSIT PAID BY SITE PI-AN SUBMITTED: NA
Contractor
REScheck[COMcheckSUBMITTED: NA
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DEPOSIT STATUS; BUILDING PLANS SUBMITTED: NA
$50
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 1
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 codeslordinances of the City of Blair and the State of Nebraska. Any omission of or misrepresentation of i
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 suffiicient ground for the revocation of any permit issued which was based on the approval of this
applicant rr:
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Date
Signature of Applicant