MS-2015-00189.tif i
CITYOF
'' 218 S.16TH STREET
BLAiR, NEBRASKA 68008
Build Permit {402) 426.4191 - Phone
426-4195 MS X0'15 -� �°��- -w�- = ���'� (402) �2s -��� - FAx I
( '($ `else of v °� www.blairnebraska.org j
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03125/2096 Shelly) MiSC Residential March 25, 2815
r: LOCATIONOFIMPROVEMENT: 1378 Linden Dr, Blair, NE 68008
ARCHITECT:
GENERAL. McKinnis Roofing & Sheet Metal
OWNER: Jacob And St Keough
CONTRACTOR:
�S
, 164 S'Ist St
1378 Linden Dr Blair, NE 68008
BLAIR, NE 68008 -0000
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NATURE OF inlORK
STRUCTURE
Storm Repair
Primary
PROJECT NAME PERMIT EXPIRES 03/24/2017
1378LindenDr-150325 -2014 Storm Damage ESTIMATED COMPLETION DATE 12131/2095
DESCRIPTION OF WORK
Reroof, gutters and siding
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck /COMcheckSUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
$50
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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. j
4. The undersigned owner or agent understands and acknowledges this building permit application does not constitute issuance of j
this building permit. It is further understood that construction covered by this permit application shahl not be commenced until a
copy of a permit signed by the Building Inspector is issued. j
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 0 icial, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
appl ion. Y
Date
Signature of Ap ant
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