ms-2015-370_0001.tif OITYOF BLAIR
218 5.16TH STREET
BLAIR, NEBRASKA 68008
�? Bu Pe Appl ication (402) 4264191 - Phone
a' (402) 426-4195 m F
www.blairnabraska.org
I MEN
05/1212015 MISC Commercial May 12, 2015 _
LOCATIONOFIMPROVEMENT: 10718 Hwy 30, Blair, NE 60000
ARCHITECT, GENE M cKinnis Roofing & Sheet Metal
OWNER: C and K Enterprises, Inc CONTRACTOR:
164 S 1st St
940 N 20th Ave Blair, NE 68008
BLAIR, NE 680080000 j
[ N ATURE OF WORK STRUCTURE
Storm Repair Pizza Hut
PERM EXPIRES 05/11/2017
PRO JECT
1071SH 30 ®150512 ®2014 Storm Damage
ES TIMA TED COMPLETION T 12131/2015
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DESCR I P TION F WORK
Remove/Replace SS Metal Roof, gutters
DEPOSIT PAID BY SITE PLAN SUBMITTED. NA
Contractor
REScheck1COMcheck 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
application.
Signature pliaant Date