MS-2015-00188.tif i
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CITYOFBLAIR
f 218 S. 16TH STREET �
BLAIR, NEBRASKA 68008
l.IIl ICI P ermit Appli (402) 426 - 4191 - Phone
� A � ° (402) 426 -4105 -FAX
MS -2015 -00188 Ise 0i a www.blai rn ebraska.org
03/25/2015 ShellyJ MISC Residential March 25, 2015
LOCATIONOFIMPROVEMENT 12$62 Cord P26, Blair, NE 68008
ARCHITECT:
k' GENERAL McKinnis Roofing & Sheet Metal
rl OWNER: James J And Christine A Foley CONTRACTOR:
164 S 1st St
12862 Co Rd P26 Blair, NE 68008
BLAIR, NE 68008 -0000
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NATURE OF WORK STRUCTURE
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Storm Repair Primary
PROJECT NAME PERMIT EXPIRES 03
12862Cord P26 - 150325 -2014 Storm Damage
ESTIMATED COMPLETION DATE 12/31/2015
DESCRIPTION OF WORK
Roof, gutters and siding
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 k
copy of a permit signed by the Building Inspector is issued.
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5. The undersigned owner or agent agrees to perform the proposed work in accordance with the specifications set forth above and
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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
apki
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Signature of App icant pate
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