MS-2010-00169_0001.tif FrO0:MCK|NN|S ROOFING & SHEET METAL 402 426 2344 10119/2010 08:00 #777 P.001/005
CITY OF BLAIR
218 & 16TH STREET
BLA|R, NEBRASKA a8008 \
Buil Permit Appli (402)426-4191 -Phone !
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S-201 0-001 OVS8 of
MISC Residential October IS, 201
LOCATIONOFIMPROWMENT; 14700 Hwy 91, Blair, NE 68008
ARCHRECT., GENERAL McKinnis Roofing & Sheet Metal
.1 OMER: Ryan, Frank and Sally Jo Trust CONTRACTOR: 164 8 Ist St
q'a Blair, NE 68008
B&IR, NE 68008.0�
NATURE OF WORK PROPOSED USE
ff I Primary Residence
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PERMIT EXPIRES 10/1412012
PROJECT NAME
14m01-1wy811101016-Rmofin ESTIMATED COMPLET DATE 201040-31 .
DESCRIPTION OF WORK
Removing and Replacing all Roofing on Home.
DEPOSIT PAID BY' SITE PLAN SUBMITTED: NA
Contractor
RESohmok/C^3KOuhnckSUBM|TTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
1.No work will be started before mpermit io 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. |tim further understood that construction covered by this permit application ehu|i not be commenced until a
copy ufa permit signed by the Building Inspector inissued.
O Tbo undersigned owner or agent agrees to perform the proposed work in accordance with the specifications set forth above and
in accordance with the ouheniond}na noes of the City oY Blair and the State of Nebraska. Any omission ofor misrepresenta of
fact with or without the intention of the undersigned or any alteration or change from this op[dinmUon 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 |
U nature \
Date