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CITYOFBLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA68008 I
Building Permit Application (402) 426-4191 Phone I
9 �� o���' (402) 426.4195 - FAX
MS -20'14 -00700 Q� , qu www.blalrnebraska.org
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06127/2014 MISC Residential June 27, 2014
LC+CATIONOFIMPROVEMENT: 1737 Washington St, Blair, NE 68008
;t ARCHITECT:
a G McKinnis Roofing & Sheet Metal
j OVVNER Joseph's Coat, Inc CONTMTOR; 164 S 1st St
Blair, NE 68008
91 Box
BLAIR, NE 68008.0000
a
NATURE OF WORK STRUCTURE
Storm Repair Primary Residence
PROJECT NAME PERMIT EXPIRES 06/2612016
1737Washingtonst- 1406272014 Storm
Damage ESTIMATED COMPLETION DATE 12/3112014
DESCRIPTION OF WORK
Remove and replace with FA TPO 60 mil
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
RESchecktCOMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
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 codestordinances 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.
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Signature of Date C
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