MS-2010-00192_0001.tif From:MCKINNIS ROOFING & SHEET METAL 402 426 2344 10/27/2010 13:52 #814 P.0011001
CITY OF BLAIR
218 5, 16TH STREET
BLAIR, NEBRASKA 68008
i .ullt�,�lA1) J i 1n ,` B u i lding Permit Application (402)426- 4191 -Phone
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(402)426-4195-FAX
MS-2010-00192 A 'om� 9e of 4, www.blalrnabraska.org
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10/26/2010 MISC Residential October 26, 2010
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' LOCATIONOFIMPROVEMENT: 2171 Crestridge Dr, Blair, NE 68008
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+ "- ARCHITECT:
GENERAL. NlcKinnis Roofing &Sheet Metal
F, OMER: Tony L And Nicole K Bretey CONTRACTOR: 164 S 1st St
2171 Crestridge Dr Blair, NE 68008
BLAIR, NE 68008 -0000 l
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NATIJ ® �ilORIC PROPOSED USE
RoafinglSoffitlEaves /Gutters Primary Residence
PROJECT NAME PERMIT EXPIRES 10/25/2012
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2171 CrestridgeDr- 101026 - Roofing 2010 -11-01
ESTIMATED COMPLETI DATE
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DESCRIPTION OF WORK
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Remove and Replace Roofing and Gutters.
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DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA {
Contractor
RESchecklCOMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
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 'codeslordinances 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
applicati
Bate
S" atureofAppllcant