746.tif I
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CITYOFBLAIR
f f 218 S. 16TH STREET
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BLAIR, NEBRASKA 68008
uilding Permit Application X �s - Ax
c 40 � 426 -
MS- 2014 -00746 14e 0i a www. blairnebraska.org
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07/0112x14 M1SC Residential July 1, 2014
LOCATION OF IMPROVEMENT: 2250 Front St, Blair, NE 68008
1 ARCHITECT: GENERAL McKinnis Roofing & Sheet Metal
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OWNER: Matthew M Holling CONTRACTOR: 164 5 1st St
'J Blair, NE 68008
` 2250 Frnt St
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BLAIR, NE 68008 -0000
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NATURE OF WORK STRUCTURE
Primary Residence
Storm Repair
PERMIT EXPIRES 06130/2016
PROJECT NAME
2250FrontSt- 140701 -2014 Storm Damage ESTIMATED COMPLETION DATE 1213112014
DESCRIPTION OF WORK
Roofing, windows, siding
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheck 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
Jc in accordance with the codes/ordinances of the City of Blair and the State of Nebraska. Any omission of or misrepresentation of
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fact with or without the intention of the undersigned or any alteration or change from this application n 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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Date
Signature of Applicant