2864.tif 09-25-'14 11;18 FROM- Absolute Customs T -156 P0001/0001 F -075
218 S. 16TH STRUT j
GLAIR NEBRASKA 68008
' ' i C ; t; (402) 426 -4161 - Phone
- �14- 8E 4 p ro ,,�� 4- (409) 428 -41 - FAX
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25/2014 bpeterse MISC Residential September 25, 2014
I
Lt ATIONOFIM PROV'EMENT: 1800 Arbor Cir, Blair, NE 68008
ARrHIlECf;
GENERAL MGKinnis Roofing & Sheet Metal
OWNER: Debra L And Kirk B, Tru stees Hutton CONTRA
164 S 1 st St
1900 Arbor Cir Blair, NE 88008
BLAIR, NE 58008 -0000
11111111 .11 J il l - 111 11 11 -1 1 111 1
MATURE OF WORK S TRUCTURE
tx�rm Repair Residence
RO JE T NAME PERMIT EX 09/2412016
1800ArborCir- 140625 -014 Storm Damag+e
E COMPLETION GATE 1V3112014
ESCRIPTION OF W OR K
le -roof
EPOSIT PAID BY; SITE FLAN SUBMITTED: NA
,ontractor
REScheck[COMeheek SUBMITTED: NA
POSIT STATUS: BUI LDING PLANS SUBMITTED: NA
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No work will be started before a permit is ISSUED AND POSTED.
For commercial permits, a set of plans for this project m ust be submitted to the Nebraska Mate Fire Marshal's Office for review.
Separate permits are requ ired f electrical, plumbing, heating, ventilating and air conditioning, and septic system.
The undersigned owner or agent understands and acknowledges this building permit application does not constitute issuance r
this building permit. It is further understood that construction covered by this pe application shall not be comm enced until �
copy of a permit signed by the Building Inspector is issued.
The undersigned owner or agent agrees to perform the proposed work in accordance with the specifications set forth above any
in accordance with the codestordinances of the City of Blair and the Mate of Nebraska. Any omission of or misrepresentation c
fact with or without the intention of the undersigned or any alteration or change from this application without approval of th
Building Official, shall constitute sufD ` nt ground for the revocation of any permit issued which was based on the approval of thi
application,.,- ` k
Mature of Applicant Date