MS-2011-00392_0001.tif I
CITY OF BLAIR
218 S. 16TH STt;EET
f $ BLAIR, NEBRASKA 68008
Building Permit Application 1402)426- ���� - f�r,�
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09/1512011 MISC Residential September 95, 2011
LOCAT10NOFIMPROVEIVIENT: 701 S 13th St, Blair, NE 58008 a
ARCHITECT: ¢
GENERAL McKinn s Roofing & Sheet Fetal }
OWNER: Brookview Apartments Of Blair C ONTRACTOR: 164 S 1st St
4115 S 933rd St Blair, NEE 68008
OMAHA, NEE 68137 -0000
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NATURE QP W ORK PROPOSED USE
Roofing /Soffit/Eaves /Gutters Apartment Building
PROJECT NAME PERMIT EXPIRES 09114/2013
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701813thSt- 110915 - Roofing ESTIMATED COMPLETION DATE 2011 -09 -30
DESCRIPTION CAP WORK
New Roof and Gutters for building #4736
DEPOSIT PAID BY; SITE PLATT SUBM![TTED: NA
Contractor
REScheck/COMcheckSUBMITTED: 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 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
Building Official, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
a placation.
Signature of Applicant ` , Date