MS-2014-01949_0001.tif E
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CITY OF BLAIR E
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Build Permit A pplication (402) 4264191 - Phone
(402) 426-4195 -FAX
.. - p ro ob www.blairn
20'14 4'1949 m, o , a g t
08106/2014 Shelly) MISC Residential August 7, 2014
LOCATIONOFIMPROVEMENT: 13962 Co Rd P18, Blair, NE 68008
ARCHITECT:
E x GENERAL McKinnis Roofing & Sheet Metal
OWNER: Karen R And Steven J Thompson CONTRACTOR:
164 S 1st St
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13962 Co Rd P18 Blair, NE 68008
BLAIR, NE 68008 -0000
NATURE OF WORK STRUCTURE
Storm Repair Primary
PERMIT EXPIRES 0806/2016
PROJECT NAME
13962Co Rd P18- 140806 -2014 Storm Damage ESTIMATED COMPLETION DATE 12/3112014
DESCRIPTION OF WORK
Reroof, gutters, siding and windows
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheek SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
$50
as fi?4 s
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
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app ication. f
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Date
Signature of Ap licant
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