3251.tif i
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CITYOF GLAIR
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218 S. '16TH STREET
LAIR, NEBRASKA 68008
® (402) 426.4191 - Phone
® �' ° �s8 of Q'�°�l (402) 426-4195 - FAX
.blairnebra$ka.org
ME
KENN"
11/05/2014 l bpeterse MISC Commercial Novembers, 2014
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LOCATIONOFIMPROVEMENT: 742 E Fairview D Blair, NE 6800
ARCHrrEcT:
GENERAL McKinnis Roofing & Sheet Metal
OMER: Of Blair City CONTRACTOR:
164 S 1st St
218 S 16th St Blair, NE 68008
BLA IR, 008 -0000
/M ATURE OF WORK STRUCTURE -
Storm Repair Water Treatment Plant
PROJEC NAME PERM i 11/0412016
742EFairviewr- 149105 -2014 Storm D ama g e
ESTIMA I 12131/2014
DESCR
Roof - Rubber Membrane for Water Treatment Plant.
DEPOSIT PI 'Y: SITE PLAN SUBMITTED: NA
NA
REScheck/COMcheck SUBMITTED: NA
DEPOSIT T TU :
B UILDING PLANS SUBMITTED: NA
NIA
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.
Signature of A % !cant Date