MS-2014-0271.tif l
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r CITYOFBLAIR
218 S.1 6TH STREET
BLAIR, NEBRASKA 68008 j
402 426 -4191 - Phone
Building Permit Application t >
(402) 426-4195 FAX
MS - 2014 - 0257'! ` °�, Q � Q�° www.blairnebraska.org
0910312014 ShetiyJ MIS C Residential September 3, 2014
LOCATIONOFIMPROVEMENT: 2,263' Washington St, Blair, NE 68008
ARCHITECT:
' GENERAL McKinnis Roofing & Sheet Metal
CONTRACTOR:
OWNER: Richard E Jensen
164 S 1 st St
2263 Washington St Blair, NB 88008
BLAIR, NE 68008.0000
NATURE OF WORK STRUCTURE
Storm Repair Primary
PROJECT NAME PERMIT EXPIRES 09/0212016
2263WashingtortSt- 140903.2014Storm
Damage ESTIMATED COMPLETION DATE 17J31I2014
DESCRIPTION OF WORK
Reroof, gutters siding on house and garage
DEPOSIT PAID BY: SITE PLAN! SUBMITTED: NA
Contractor
REScheck/COMcheck SUBMITTED; NA
DEPOSIT STATUS;
$50 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 j
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 constittate. sufficient ground for the revocation of any permit issued which was based on the approval of this
app 'cation.
Signature of Applicant Date