3087.tif C1TY OF BLA1R
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Application
(402) 426 -4101 - Phone
CIS -2014 -03087 b` ° 'hhe of Z www.bl rnebras rg
1011712014 J intern MISC Commercial October 20, 2014
LOCAMONOFiMPROVEMENT: 715 Grant St, Blair, NE 68008
ARCHITECT:
r GENERAL llcKinnis Roofing & Sheet Metal
OWNS: T and T Holdings, Lie CONTRACTOR:
g
164 S 1st St
1815398 Co Rd Blair, NE 68008
BLAIR, NE 68008 -0000
MATURE OF WORK STRUCTURE
Storm Repair Primary
PROJECT NAME PERMIT EXPIRES 1011912016
795GrantSt•149017 -2094 Storm Damage
ESTIMATED COMPLETION DATE 1213112014
DESCRIPTION OF WORK
Roof, wall panels, gutters, downspouts
DEPOSIT PAID BY: SITE PLAN SUBMITTED. NA
Contractor
REScheck/COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
$50
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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49nature of Aplacant Date