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0710812014 i bpeterse MISC Commercial =July
LOCATION OF IMPROVEMENT- 1646 W ashing ton St, Blair, NE 68
ARCHITECT: GENERAL McKInnis Roofing & Sheet Metal
C3 MER B la ir A rea Chamb O f Commerce, Inc Cl`C : 1 1st t
Blair, NE 68008
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1646 Washington St
BL,A►IR, NE 68008 °0000
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NATURE OF WORK STRUCTURE
S torm R lair Chamber of Comme
PROJECT NAME PERM 0710712016
1646 ashin ton °1 70 014 Sto
D amage I 12131/2014
DESCR
R emove and replace fully adhered 0 mil EPDM Roof Membrane.
DEPO SIT PAID BY: SITE PLAN SUBMITTED: NA
NA
RES check1COMcheck SUBMITTED: NA
DEPO SIT STATUS: B UILDING N IUS ITT : NA
N/A
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 sepfic 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
B uilding Official, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
application.
Signature of *l licant Date