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CITY OF BLAIR
2'18 SA6TH STREET
BLAIR, NEBRASKA 68008
{402) 426-4191 - Phone
lication
Building Permit APP (x02)426 -0a5 -FAX
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Residential
August 11, 2014
MISC
0811112014
LOCATIONOFIMPROVEMENT: 857 N 15th St, Blair,
NE 68008 '
�ENERaL McKinnis Roofing &Sheet Metal
ARCHITECT: CONTRACTOR:
OWNER: Kathleen A, Etal Buker 164 S 1st St
Blair, NE 68008
2235 Hebbelen Dr
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LEAVENWORTH, KS 66048 -4000
4 6 "
STRUCTURE
NATURE OF WORD. Primary Residence
Storm Repair 08110/2016
PERMIT EXPIRES
PROJECT NAME 12131/20'14
857N15thSt-140811 -2014 Storm Damage ESTIMATED COMPLETION D ATE
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DESCRIPTION OF WORK
Roof, siding, gutters, windows
DEPOSIT PAID BY:
SITE PLAN SUBMITTED: NA
Contractor RESchecklCOMcheckSUBMiTTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
1. No work will be started before a permit is ISSUED AND POSTED.
for this project must
2.For commercial permits, a set of plans . be submitted to the Nebraska Stat
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3. Separate permits are required for electrical, plumbing, heating, ventilating and air conditionin Office for review.
4. The undersign `
ed owner or a ent understands and acknowledges this building permit application does not constitute issua
c unlit a
this building permit. it is further understood that construction covered by this permit application shall no
copy of a permit signed by the Building Inspector is issued. j
S.The undersigned owner or agent agrees to perform file pCOpQSBd work in accordance iNith pe{ 0 in accordance with the codesiordinances of the City of Blair and the State of Nebroska, ;y
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fact with or without the intention of the un der signed or any alteration of
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Building Official, shalt constitute sufficient ground fo the
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