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. � � � ,' '� r i . I 1 i CITY OF GLAIR 218 S. 16TH STREET BLAIR, NEBRASKA 68008 426 -4191 - Phone Bui P ermit Application c 402 � (402) 426 -4195 - FAX MS- 2014 -0241 pr ° fiIse of a0 www .blairnebraska.org 48/25/2014 MISC Residential August 25, 2014 LOCATION OF IMPROVEMENT. 1212 South St, Blair, NE 68008 ARCHITECT: GENERAL McKinnis Roofing & Sheet Metal OWNER: Bobbi And Bret grown CONTRACTOR: t,l _ _ 164 S Ist St 1212 South St Blair, NE 68008 BLAIR, NE 68008 -0000 r NATURE OF WORK STRUCTURE Storm Repair Primary Residence PROJECT NAME PERMIT EXPIRES 0 8 /2 4/2 0 16 1212SouthSt- 140$25 -2014 Storm Damage ESTIMATED COMPLETION DATE 12131/2014 DESCRIPTION OF WORK Roof, garage roof, windows, garage door, gutters DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA Contractor REScheck1C©Mcheck SUBMITTED: NA DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA r LalC "kI't 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 appl* Cation. Signature of App ant Date