MS-2014-01907.tif i
CITYOFBLAIR
x o. 218 SA 6TH STREET
SLAIR,NEBRASKA 68008
ailiihtjy�LCu__ME Building Permit Application (402 426- 4191, -Phony
(402) ) 426.4196 -FAX
MS -2014- 01907 �a' °� °t a ° °� www .blairnebraska.org
08/04/2014 MISC Residential August 4, 2014
LOCATIONORMPROVEMENT: 905 N 24th St, Blair, NE 68008
ARCHITECT.
GENERAL McKinnis Roofing &Sheet Metal I
OWNER: Brian D And Luann A Fuhirodt CONTRACTOR:
i 164 S 1st St
J05 N 24th St Blair, NE 68008
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� GLAIR, NE 68008 -0000 I
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NATURE OF WORK STRUCTURE
Storm Repair Primary residential
PERMIT EXPIRES 08103/2016
PROJECT NAME
905N24thst- 1408042014 Storm Damage ESTIMATED COMPLETION DATE 12/3112014
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DESCRIPTION OF WORK j
Roof, gutters, downspouts
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/CO M check SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
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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 j
this building permit. It Is further understood that construction covered by this permit application shall not be commenced until a I
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
aPPli ` tion.
Date
Signature of Appl ant