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CITYOFBLAIR
' 218 S. 16TH STREET
BLAIR, NEBRASKA 68008 I
(402) 426 -4191 - Phone ;
�Iilding ermi ppiica ian
(402) 426 -4185 - FAX
MS- 2014 -02136 ° ` °ters 01 a °� www.biairnebraslca.org
III
08/13/2014 MISC Residential August 13, 2014
s LOCATIONOFIMPROVEMENT: 119 E Riverview Dr, Blair, NE 68008
ARCHITECT' GENERAL McKinnis Roofing & Sheet Metal
y OWNER: Terry Lee And Kathryn Ranae Brechbill CONTRACTOR:
164 S 1 st St
Blair, NE 68008
BLAiR, NE 68008 -0000
NATURE O F WORK STRUCTUR
Storm Repair Primary Residence
PROJECT NAME PERMIT EXPIRES 08112/2016
11 9ERiverviewDr- 140813 -2014 Storm
Damage ESTIMATED COMPLETION DATE 12/31/2014
DESCRIPTION OF WORK
Roof, gutters, siding, windows, shed roof
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 codesfordinances 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 sufflclent ground for the revocation of any permit issued which was based Orr the approval of tiIis
appli tion.
Signature of App ant Date