MS-2010-00103_0001.tif i
From:MCKINNIS ROOFING & SHEET METAL 402 426 2344 09/29/2010 13:34 #724 P.001/003
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CITY OF BLAIR �
218 8.16TH STREET
BLAIR, NEBRASKA 68008 !
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Building unit A pplication (402)426-4191 -Phone
(402)426.41 -FAX ;
MS - 2010 - 00103 �'pn„t or �� °•'' www.blairnabraska.org I
09109/2010 MISC Resfdentiat September 9,
t_OCATIONORMPROVEMEN'r: 11371 Dakota Cir, Blair, NE 66008
e ARGHTECT: i
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OVMF;L YSJ, LLC CONTRACTOR: McKinnis Roofing & Sheet Metal
164 S 1st St
11371 Dakota Cir Blair, NE 68008
BLAIR, NE 68008 -0000
- M 101
NATURE OF WORK PROPOSED USE
Roofing /Soffit/Eaves /Gutters Primary Residence
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PROJECT NAME PERMIT EXPIRES 09/08/2012
11371DakotaCir- 100909 -Roof
ESTIMATED COMPLETION DATE 2010 -09 -09
DESCRIPTION OF WORK
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Roof replacement, Siding and Gutter replacement as well. 1
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor i
REScheck/COMcheck SUBMITTED: NA I
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 I
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.
S. 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 i
Building Official, shall constitute sufficient ground for the revocation of any permit Issued which was based on the approval of this
applicat
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pate
Signature of Applicant 1
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