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912_0001 (2).tif i i CITYOFBLAIR J 218 S.16TH STREET BLAIR, NEBRASKA 68008 0, �TrE`E�i)��latx.i� . BUI�C�ltlg h @t't]11 I��EJ�ICaI ©Cl (402) 426 -4191 - Phone M$ -201 ©0912 (402) 426 -4195 - FAX ` Ito of a ° ° www.blairnebraska.org 07107/2014 MISC Residential July 7, 2014 LOCATIONOFIMPROVEMENT: 1065 N 20th Avec, Blair, NE 68008 ARCHITECT: GENERAL McKinnis Roofing & Sheet Metal OWNER: Richard C And Deborah K Kellogg CONTRACTOR: 164 S 1st St r Blair, NE 68008 r , 1065 N 20th Ave Cir B L AIR, NE 68008 -0000 { wL1���G r +sl r�n Il�l'k�dCtviti NATURE OF WORK STRUCTURE Storm Repair Primary Residence PROJECT NAME PERMIT EXPIRES 07/06/2016 1065N20thAvec- 140707 »2014 Storm Damage ESTIMATED COMPLETION DATE 12r3112014 DESCRIPTION OF WORK i Roof and gutters I i DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA Contractor REScheck/COMcheck SUBMITTED: NA DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA i i r �... ; , 47"7 d j r A' a i., ti U4 Z 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 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 Building Official, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this apps' tion. Date Signature of A licant