MS-2014-01725.tif -� -� CITYOFBLAIR
f 218 S. 16TH STREET
1 BLAIR, NEBRASKA 68008
id Pe rm it App (402) 426 -4191 - Phone
Bu ilding
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MS - 2014- 0'17 ��I of www.blairnebraska.org
07/28/2014 MISG Residential July 28, 2014
LOCATIONOFIMPROVEMENT: 1026 N 28th Ave, Blair, NE 68008
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,. ARCHITECT: GENERAL McKinnis Roofing & Sheet Metal
1 O WNER: Jeffery A And Tyrrie T Solheim CONTRACTOR:
r 164 S 1st St
1026 N 28th Ave Blair, NE 68008
BLAIR, NE 68008 -0000
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NATURE OF WORK STRUCTURE
Storm Repair Primary Residence
PROJECT NAME PERMIT EXPIRES 07/27/2016
1026N28thAve- 140728 -2014 Storm Damage ESTIMATED COMPLETION DATE 12/3112014
DESCRIPTION OF WORK
Roof, gutters, widnows, siding, shed
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
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 sufficiont ground for the revocation of any permit issued which was based can the approval of this
appli ation.
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Date
Signature of App cant I