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CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 680
B ui lding Permit pp ication► ( 4 02) 426 - 4191 - Phone
MS- 2D14.02�97 a�ofi (402) 42s -4185 - FA
ise of a www,biairnebraska.org
08127/20'14 MISC Residential August 27, 2014
LOCATIONOFIMPROVEMENT: 1720 Park St, Blair, NE 68008
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ARCHITECT: GENERAL McKinnis Roofing & Sheet Metal
OWNER: Erin Elaine Maloney CONTRACTOR:
164 S 1st St
1720 Park St Blair, NE 68008
BLAIR, NE 68008.0000
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NATURE OF WORK STRUCTURE
Storm Repair Primary Residence
PROJECT NAME PERMIT EXPIRES 08126/2016
1720ParkSt- 140827 -2014 Storm Damage ESTIMATED COMPLETION DATE 12/31/2014
DESCRIPT OF WORK
Roof, gutters (house shed garage)
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheek /GOMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
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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 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
ap lication.
Signature of A pl!cant' Date