MS-2010-00153_0001.tif i
From:MCKINNIS ROOFING & SHEET METAL 402 426 2344 10/11/2010 08:03 #753 P.0031003
CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
. A ` °AIµ Building Permit Application (402)426. 4101 -Phone
(402)426-4195-FAX
MS-2010-00153 A' qrae www .blaimebraska .org
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1010812010 MISC Residential October 8, 2010
z§ L.00AMONOFIMPROVEMEW 1116 N 28th St, Blair, NE 68008
Pi2GH17ECT: G1=7� McKinnis Rooting & Sheet Metal
a OWNER: Seth E And Maureen E Nowak Bray CONTRACTOR: 164 S 1St St
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1116N26thSt Blair, NE 68008
BLAIR, NE 68008.0000
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NATURE OF WORK PROPOSED USE
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Roofing/SoffiVEaves /Gutters Primary Residence
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PROJECT NAME PERMIT EXPIRES 10107/2012
1116N28th3b101008 -Roof ESTIMATED COMPLETION DATE
2010 -10 -
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DESCRIPTION OF WORK
Reroofing Entire House i
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DEPOSIT PAID BY: SITE PLAN SUBMITTED.- NA
Contractor
REScheck1COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA �
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t. No work will be started before a Is ISSUED ARID 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. I
6. The undersigned owner or agent agrees to perform the proposed work in accordance with the specifications set forth above and i
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 aiteration or change from this application without approval of the j
Building Official, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
appliCat ion
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D ate
Signature of Applicant i
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