MS-2012-00015_0001.tif i
CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Buflfflng Permit Application ( 402 ) 426- 4191 -Phony
(402) 426 -4195 - FAX
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01/2312012 bpeterse MISC commercial January 24, 2012
LOC ATIONOFIMPROVEMEW . 237 N 13th St, Nair, NE 68008
ARCHITECT: GE NERAL cKinnis Roofing Sheet Metal
OWNER: Equipment Co Concrete OR' 164 S 1st S
237 N 13th St Blair, NE 68008
BLAIR, NE 68008-0000
NATURE OF WORK PROPOSED USE
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Roofin S t aver /Gutte P rimary Comma iai ®Con ® -Co
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PERMIT EXPIRES 0112312014
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PROJECT NAME
237W13thSt-120123-Roof
EST OMATED COMPLETION T 2012
DESCRIPTION OF WORK
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Re - R oofing Con® ®Co with 60raill EPDM
DEPOSIT RAID Y: SITE PLAN SUB MITTED: IAA �
Contractor
RESchock=Mchock SUBM ITTED , NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: IAA
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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, treating, 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 cowered by this permit application shall not be commenced until a
copy of a permit signed by the Building Inspector is issued.
. The undersigned owner or agent agrees to perform the proposed Work in accordance with the specifications set forth above and
in acco rdance 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
application.
signature Of Appli�,pt R Date