MS-2011-00037_0001-1.tif i
From:MCKINNIS ROOFING & SHEET METAL 402 426 2344 02/2212011 11:26 #035 P.0011001
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CITY OF BLAIR i
218 8.16TH STREET
BLAIR, NEBRASKA 68008
.y Building Permit Applica (4 - 4191 -Phone
MS-2011- � ss``�+ (402)428.4195 -FAX
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4x/1812011 bpeterse MISC Residential February 22, 2011
LOCATIONORMPROVEMENT: 2280 Hickory Cir, Blair, NE 68008
ARCHfTECT.
e GENERAL McKinniS Roofing & Shoat Metal
MNER: Zachary L And Teresa L Myers CONTRACTOR: 164 S 1st St
2280 hickory Cir Blair, NE 68008
BLAIR, NE 68008.0000
+ 00
NATURE OF WORK m PROPOSED USE
hoofing /Soffit/Eaves /Gutters Primary Residence
PROJECT NAME
PERMIT EXPIRES 02/17/2013
2280HickoryCir 110218 - Roofing
ESTIMATED COMPLETION DATE 2011 -02 -28
DESCRIPTION OF WORK
Replacing roof and some siding as wall as a few pieces of gutter and downspouts.
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DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheck SUBMITTED: NA
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
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 I
Building Ofri ial, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
app ca
Signature of Appli Date
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