3076.tif GITYOFBLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
771 wilding Permit ppiication (402) 426 -4191 - Phone
(402) 426 -4196 - FAX
MS- 2014-43076 ar �fi(se oS Qu41`� www .blalrnebraska,.org
10/1612014 intern MISC - - Commercial October 17, 2014
LOCATIONOFIMPROVEMEN7: 202 S 10th 5t, Blair, NE 6 8008
ARCHITECT:
r GENERAL McKinnis Roofing & Sheet Metal
OWNER: Huntel, Inc CONTRACTOR:
164 S 1st St
1638 Lincoln St Blair, NE 68008
BLAIR, NE 68008.0000
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NATURE OF WORK STRUCTURE
Storm Repair Primary
PROJECT NAME PERMIT EXPIRES 10116/2016
202S10thSt- 141016 -2014 Storm Damage
ESTIMATED COMPLETION DATE 12131/2014
DESCRIPTION OF WORK
Roof, gutters, downspouts
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
RESchecklCOMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
$50
I
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
application.
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Signature of 4plicant Date