ms-2015-365_0001.tif i
CITY0FBLAlR
216 S. 16TH STREET
BLAIR,N B S 69006
U6
(402) 426 -4195 - FAX
42 191 - Phone
B uildi ng
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a e at .lairnebras .or
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05112f2015 I ISC Commercial May 12, 2015
LOCATIONOFIMPROV/IENT: 454 S 19th St, Blair, NE 68008
ARCHITECT: GENERAL McKinnis Roofing & Sheet Metal
OWNER: Nebraska Iowa Supply Co, Inc OR:
. i
164 S 1st St
Blair, NE 68008
BLA IR, NE 66008.0000
I
NATURE F WORK STRUCTURE j
Storm R epair
Petro Mart II
PERM PROJECT NAME I 05111/2017
464SI hSt- 160512 -2014 Storm Damage
ES TIMATED COMPLETION T 12/31/2015
DESCR
R emove/Replace SS Metal Roof and Gutters.
D EPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheckICOMcheckSUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
$50
X
1
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 /ordlnances 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 of A6. lioant