ms-2015-369_0001.tif i
CITYOFBLAIR
Y 215 S. 16TH STREET
BLAIR, NEBRASKA 68008
(402) 426 -4101 - phone
Build Perm 'I (402) 426-4195 - FAX
S - 2015 =00365 ar�i ,, . i a `'� www.blairnebraska.org
51121201 MiSC _ _ Commercial may 12, 2015 I
17 LOCATIONOFIMPROVEMENT: 1522 Washington St, Blair, NE 65008
ARCHITECT:
-
GENERAL McKinnis Roofing & Sheet Metal
OWNER Lincoln Federal Savings Bank CONTRACTOR:
f„ 164 S 1st St
.',
P® Box 545 Blair, NE 68005
RLAIR, NE 680080000
NATURE OF WORK STRUCTURE
Storm Repair Lincoln Federal Savings Bank
PERM EXPIRES 0511112017
PRO JECT NAME
1822WashingtonSt- 150512a2014Storm ES TIMA TED TI T 12131/2015
Damage a
DESCR IPTION F WORK
Remove /Replace built up roof (Ta /Gravel), guttersldownspouts.
DEPOSIT PAID 'Y: SITE PLAN SUBMITTED: NA
Contractor
REScheck[COMcheckSUSMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
$50
�r. ,T y r yam.'
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.
Signature o pplint date