MS-2011-00235_0001.tif i
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CITY OF BLAIR �
218 S. 16TH STREET
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1 BLAIR, NEBRAS 68008
428 41 ~�1 -Phone
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Building 'strait Application ( 402 )
(402)426-4196-FAX
MS www.blairnebraska.org
06f2212011 MISC Residential ,tune 22, 2011
LOCAT1ONOF MPROvJ tsr;ENT: 9'8 'ark St, Blair, NE 68008
s k.; ARCHITECT; GENERAL McKinnis ,Roofing & Sheet Metal
0%mR; Crag And Laura Schlachter CONTRACTOR: 164 S 1st at
sill r 1862 Park St Blair, NE 68008
.z BLAIR, NE 680,08 -0400
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NATURE OF WORK PROPOSED USE
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R oo 11 r�g/A:7 r�ff13J Et�v'��i7'17utAer+S Primary Residence
PROJECT NAM PERMIT EXPIRES 0612112013
1862ParkSt- 110622- Roofing
ESTI COMPLETION DATE 2011 -0630
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DESCRIPTION OF WORK
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Remove and replacing partial roof and gutters.
DEPOSIT PAID BY SITE PLAN SUBMITTED, ILIA
Contractor
REScheck /001Vlcheck SUBMITTED NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
$50
1. No wont 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
Ibis 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 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
B iid n Official, shall constitute sufficient around for the revocation of any permit issued which was based on the approval of this
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gnature of Applicant _ .._._ Date