2598.tif I
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CITY OF BLAIR
f 218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Build
g re ' � ICt� (402) 426 -4191 - Phone
(402) 426 -4195 » FAX
MS -2014 -02598 4r ° rn/so of `�� www.blairnebraska.org
09104/2014 bpeterse MISC Residential September 5, 2014 E
LOCATIONOFIMPROVEMENT: 1$43 South St, Blair, NE 68008
ARCHITECT:
GENERAL McKinnis Roofing & Sheet Metal
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OWNER: David S And Robin R Young CONTRACTOR:
164S1stSt
40 128 31 Co Rd Blair, NE 68008
BENNINGTON, NE 68007 -0000
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NATURE OF WORK STRUCTURE
Storm Repair Primary
PROJECT E PERMIT EXPIRES 09/0412016
1843SouthSt- 1409042014 Storm Damage
EST COMPLETION DATE 12131/2014
DESCRIPTION OF WORK
Reroof, gutters and siding
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
RESchecklCOMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
$50
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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 wilding 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
application.
Signature of Ap icant Date
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