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CITYOFBLAIR
- 216 S. 16TH STREET
BLAIR, NEBRASKA 66006
II [ 1 I I 1 (402) 42 191 - Phone
(402) 426 -4195. FAX
MS -2015-00371 ��`�'� +r` of , www.blairnebraska.org
€1611212015 MISC Residential May 12, 2015
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LOCATIONOFIMPROVEMENT: 3065 College Dr, Blair, NE 66006
GENERAL McKinnis Roofing & Sheet Metal
OWNER W illiam R And Michelle R Hall CONTRACTOR:
164 S 1st St
3065 College Dr Blair, NE 60006
BLAIR, NE 660050000
NATURE OF WORK STRUCTURE
C Storm Repair Primary Residence
PERM EXP IRES 0511112017
PROJECT NAME
3065CollegeDr -1 512 -2014 Storm Damage ES COMPLE DA TE 12/31/2015
DESCR
Remove and replace 60 mil EPOM, downspouts.
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DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
1 Contractor
REScheck/COMcheck SUBMITTED: NA
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DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
$200
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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 of A 110ant Date