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2499.tif 1 I CITY ©F BLAIR [ �} 213 S. 1 6TH STREET BLAiR, NEBRASM68008 (402) 426 -4191 - Phone Building Per A ppl i cat i on r (402) 426.4195 - FAx MIS- 2014 - 02499 °fisa °s �s° www.blairnebraska.org �7 08/2712014 Sc MI Residential August 27, 2014 _ I t CJCATIOhIOFIMPRQVf =MFNT: r 912 N 16th St, Blair, NE 68008 ARCHITECT: GENERAL McKinnis Roofing & Sheet Metal OWNER: Alice L Ricker CONTRACTOR: ". 164 S 1st St rst 912 N 16th St Blair, NE 68008 n, BLAIR, NE 68008 -0000 { T f c '§Y p C ,f "9 I z'z �i, i `fit s A r.. n. p i �, NATURE OF WORK STRUCTURE Storm Repair Primary Residence PROJECT NAME PERMIT EXPIRES 08/26/20 912N16thSt- 140827-2014 Storm Damage ESTIMATED COMPLETION DATE 12131/2014 DESCRIPTION OF WORK Roof, gutters, siding, window, shutters, screens c 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 codeslordinances 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 f Building fficial, shall constitute sufficient round for the revocation of an permit issued which was based on the approval g g y p pp oval of this ap i ation. Signature of Ap [cant Date i