423.tif i
From:MCKINNIS ROOFING & SHEET METAL 402 420 2344 06119/2014 13 :11 #811 P.002/002
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Jun, 49. 2C 14 11;1401 CITY OF BL (402, 426, 4 141; No, H75 F. 2
clTYal~ BLA1R E
210 $.16TH STREET
B AIR,NRSAASKA6B000
Building Permit Application (402) 4264191 - phone i
�4162) 426 -4186 - FAX
Ma- 2{114 - {/0423 °'an„s� a�� www.blatrnebrasko.org i
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461191 1A MISC Residenllal .tune 49 2014
LGCA 1184 Jacicsgo Of, Blair, NE 88088
r GI t�F MoKiMis Roofing & Sheet Metal
" . 1R; Timothy K And Lori L Svendgsr+dl 164 1st St
Blair, NE $0008
11186 N 14th St
BLAIK, NE 68004 -0000
SELF-CTE D ' G-HARACT5R19T1CS OF WOR
NATURE Of WORK STRICTURE
Storm Repair Pri mary Residence
PROJECT NAME PERMIT EXPIRES �i1118f�tt1�
i841lacksiMliSt-140019-2014 Storm Damage
ESTIMATED COMPLETION DATE 1213V2014
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DESCRIPTION OF WORK
Roofing, gutters, and siding
DEPOSIT PAID SY: SITE PLAN SURMITTED; NA
contractor
RESaheaWCQMobeck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
A # a
'I, No w9rk wilt be started before a permit is ISSUED AND POSTED,
2. For commetrVal parniils, a set of plans for this project most be submitted to the Nebraska State Firs Marshal's Office for review.
3. Separate permits are required for eleOriccsl, plumbing, heating, ventilating anti 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 Gommanaed until s
ropy of a permit signed by the Building Inspector Is issued.
S. Tha 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 Stale 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
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Signawm of Ap cent Data