MS-2012-00088_0001.tif � CITY OF BLAIR
r 218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Bu ilding Perm (402) 426 -4191 - Ph... �
®a'1 �id� °��` (402) 426- 4195 - FAX
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03123/2012 lbpeterse MISC Commercial March 23, 2012
LOCA TIONOFIMPR OVEIVIENT. 1555 Colfax St, Blair, NE 6 008
ARCHnECT:
GENERAL McKinnis Roofing & Sheet Metal
OWNER: County Washington CONTRACTOR 164 S 1st St
� 1555 Colfax St
� Blair, NE 68008
BLAIR, NE 68008 -0000
NATURE OF WORK PROPOSED USE
E
Roofing/Soffit/Eaves/Gutters Primary Residence
PROJEC PERM EXPIRES 0312312014
1555Co11axSt-120323-Roo ES TIMATED COMPLETION 20 -04.01
DESCR IPTION F WORK
i
Re- roofing courthouse above jail.
DEPOSIT PAID Y: SITE PLAN SUBMITTED: NA
NA
RE SchackICOMehock SUBMITTED- NA
DEPOSIT STATUS:
B UILDING PLANS SUBMITTED: NA
N/A
� "�i?i �r t "'" 1a i
_ i
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
application
Signature of Applicant Date