MS-2014-01183.tif 1
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CITYOFBLAIR
�- -- 218 S. 16T HSTREET
BLAIR, NEBRASA68048
(402) 426 -4181 - Phone
--- Building Permit Application (442)426 - 4`195 -FAX
www.blairnebraska.org
MS -20`14 -01083 07) e °t
MISC
Residential
10, 2014
.......................
07110120'l4
,k LOCATIONOFIMPROVEMENT: 12227 Cord P26, Blair, NE 68008 b Metal
ARCHITECT: GENERAL McKinnis Roofing & S
CONTRACTOR: 164 S 1st St
�:. OWNER: Martin And Nicole Albrecht Blair, NE 68048
12227 co Rd P26
BLAIR, NE 68008 -000
STRUCTURE
NATURE OF WORK Primary Residence
Storm Repair 07109120'16
PERMIT EXPIRES i
PROJECT NAME 12/31/2014
12227Cord P26A40710.2014 Storm Damage ESTIMATED COMPLETION DATE
DESCRIPTION OF WORK
Roof, gutters, shed
DEPOSIT PAID BY: SITE PLAN SUBMITTED:
NA
Contractor RES SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
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1. No work will be started before a permit is ISSUED AND POSTF_D bmitted to the Nebraska State Fire Marshal's Office for review.
2. For commercial permits, a set of plans for this project must be
ing, heating, ventilating and air conditioning, and septic system.
3. Separate permits are required for electrical, plumb cknowledges this building permit application does not constitute issuance of
4. The undersigned owner or agent understands and a
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.
perform the proposed work in accordance with the specifications set forth above and
5.The undersigned owner or agent agrees t o p
in accordance with the codes/ordinances of the City of Blair and the State of Nebraska. Any omission of or misrepr esentation of t the in of the undersigned or any
alteration or change from this application without app rove! of the
fact with or withou ermit issued which was based on the approval of this
Building Official, shall constitute sufficient ground for the revocation of any p
app
' "' G�---- --
SigrraturO of Applicant '
Date
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