ms-2015-270_0001.tif i
CITYOFBLAIR
218 S.1STH STREET
BLAIR, NEBRASKA 68008
B uild ing Permi t App licatio n (402) 426.4191 - Phone
(402) 426. 4195 - FAX
MS - 201 5. 00270 ` � 01 a ° o� www,blairnebraska.org
NEEMEM
0411712015 MISG Residential April 17, 2015
LOCATIONOFIMPROVEMENT: 1553 South St, Blair, NE 68008
ARCHITECT:
GENERAL. McKinrt'rs Roofing & Sheet Metal
OWNER: Robert And Kerrie Anderson CONTRACTOR: i
164 S 1st St
16510 Co Rd P33 Blair, NE 68008
BLAIR, NE 68008 -5653
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NATURE OF WORK STRUCTURE
Primary Residence
Storm Repair
PERMIT EXPIRES 04/16/2017
PROJECT NAME
1553SouthSt- 150417 -2014 Storm Damage ESTIMATED COMPLE DATE 12131/2015
DESCRIPTION OF WORK
Roof, gutters, downspouts, paint siding, storm door and storm windows.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheck SUBMITTED: 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.
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
appli ✓ c yon.
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Date
Signature of Ap scant