MS-2013-00483.tif From:MCKINNIS ROOFING & SHEET METAL 402 426 2344 10/16/2013 15:42 #293 P.0021004
CITYOFBLAIR
218 S. 16TH STREET
BtAIR, NEBRASKA $8008
Building Permit Application (402) 426-4191 - Phone
MS 20'13 -80483 7,0 - ' (402) 426.4188 - FAX
rho a w www.blairnebraska.org
1011612013 MISC Residential October 16, 2013
5 LOCATIONOFiMPROVEMENT: 762 S 13th St Blair NE 68008
u ARCHITECT:
?= GENERAL McKinnis Roofing & Sheet Metal
y= WMER: Michael D And Pamela S Cushman CONTRACTOR: 164 S 1st St I
762 S 13th St Blair NE 68008 j
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" BLAIR, NE 66008 -0000 i
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NATURE OF WORK PROPOSED USE
Roofing /Soffit/Eaves /Gutters Primary Residence
PROJECT NAME PERMIT EXPIRES 10/16/2015
762S13thSt 131016 - Roofing
ESTIMATED COMPLETION DATE 11/1/2013
DESCRIPTION OF WORK
Replacing roof and gutters.
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DEPOSIT PAID BY: SITE PLAN SUBMITTED, NA
Contractor
REScheck/COMcheck SUBMITTED: NA '
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
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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 I
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 I t ntion o€ the undersigned or any alteration or change from this application without approval of the
Building Ofc1 ,shall co stit to sufficient ground for the revocation of any permit issued which was based on the approval of this
z Applicant
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Brandy Petersen
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From: Christina Teager [ christina .teager @mckinnisroofing.com]
Sent: Friday, October 04, 2013 11:21 AM
To: Brandy Petersen
Subject: Permit - Cushman
Good Morning
Can I have a permit please for the following
Pam & Mike Cushman
762 South 13th Street
Blair NE 68008
402 - 427 -3888
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Storm Damage j
Job Valuation - $15,585.86
Replacing Roof and gutters
Thank you Brandy
Christina Teager
Residential Administrator
RL
164 S 1st St, PO Box 37, Blair, NE 68008
P: 402.426.2644 1 F: 402.426.2344
Chr istina ,teagerp_mck'innisroofin_q,co
www.nickinnisroofing
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