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ms-2015-335_0001.tif CITYOFBLAI 219 S.16TH STREET BLAIR, NEBRASKA 68008 ® (402) 426-4191 - Phone u Bu Pe rm i t I I (402) 426-4195 - FAX MS - 2015 - 003 35 �'f� , g any www.blairnebraska.orp 0510112015 MISC Residential May 1, 2015 LOCATIONORMPROVEMENT: 1105 S Hwy 30, Blair, NE 68008 ARCHITECT: GENERAI. McKinnis Roofing & Sheet Metal OWNER: Andrew D And Shelly L Andreasen CONTRACTOR: 164 S 1st St 9961 Co Rd P35 Blair, NE 68005 BLAIR, NE 69005 -0000 n. NATURE OF WORK STRUCTURE Storm Repair Andy's Mcwtown NAME IT EXPIRES 04/30/2017 PROJEC 1185SFIwy 30- 150501 -2014 Storer Damage ES TIMATED L Ti ON DA TE 12)31/2015 DESCR IPTION F WORK Remove and replace metal roof, wall panels, gutters /downspouts. I j DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA Contractor REScheck1COMcheckSUBMITTED: NA I DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA E $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 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. Date Signature f Applicant