MS-2015-00191.tif i
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CITYOFBLAIR
218 S. 16TH STREET
BLAI NEBRA 68008
• (4 0 2) 4264 -Phone
., (402) 426.4195 - F
- S$ 01 �' .blairnebraska.org
03125/2015 ShellyJ MISC Commercial March 25, 2015 I
LOCATIONOF IMPROVEMENT. 138 N 16th St, B lair, NE 68008
ARCHITECT:
GENERAL McKlnnis Roofing & Sheet Metal
OWNER Holding Lie CONTRACTOF;L-
164 S 1st St
7990 Co Rd P35 Blair, ICE 68008
BLA NE 68008 -0000
NA TURE T G
Storm Re Prim ary
PROJECT NAME IT EXP IRES 0312W2017
138N 16thSt- 150325.2014 Storm Damage
EST IMATED L I `1' 12/31/2015
DESCR
Replace TPO, EPD , Asphalt shingles and standing seam awning
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DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
ESchecldCO check SUBMITTED: NA
DEPOSIT STATUS:
BUILDING PLANS SUBMITTED: NA
$50,
r
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 codestordinances 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
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application.
Signature 013Applicant Date
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