ms-2015-375_0001.tif 0511312015 13:3502502575 G AND O ROOFING INC PAGE 01/01 i
May, 13, 2015 2.53PM CITY OF BLAIR (402, 426, 4191) No. 7904 P. 1
Cl7YOFBLAIR
2986.16TH STREET
si -Allt, NEBRASKA 6$008
Building Permit Applicatio (40.x) 428.4191 - Phan®
_ (402) 426-41 - FAX
MS-2016- ��� °nr o ; a''` www.biaTrnabraske.org
05119lz0�~i
MI SC
' �:esidentlsl May 13, 2015
I
LOCATIONORM 2339 Park St, Blair, NE 6$408
ARCHITECT: GrENERAL C & S Roofing Inc.
QVWFR Mary Grace And Earl C Knower CONTRAGTOR;
g$, 2249 Peoples Rd Sts B
9 /� BELLEVUE,NE 68123
BLAIR, NE 68008
NATURE OF WORK 9TRUt CURE
Primary Residence
Storm Repair
PERMIT EXPIRES ia5f92F2U Ifi
PROJECT NAME
2339ParkSt- 15 -2014 Storm Damage ESTimATr;p CC)MOLETION DATE 5i93/2D93
DESCRIPTION OF WORK
Roofing & Siding
Or OPOSIT PAID BY: SITE FLAN SUBMITTED: NA
POSIT
E?ESchecklCCtMahemkSUBMITTECI: NA
DEPOSIT STATUS: BUII DING PLANS SUBMITTED: NA
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 hlebraslra State Fire Marshal t�fflae for revlsw.
3. Separate hermits are required for electrical, plurnbing, heating, ventilating and air conditioning, and septic system.
A. Tho undersigned owner or agent understands and ao1<noWledges this building permit application does not constitute issuance cf
this building permit, It is further understood that construction covered by this p2rrtlit applioatlon 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 worX in accardanc� with the specifications set forth above and
In accordance with the codeslordinances of the City of Blair and the State of Nebraska. Any omission of or misrepreation of
fast with or withouE th ln I an tiin of the undersigned or any alteration or change from this application without approva
Building official, sha institute sufficient ground for the revoCation of any permit issued which was [cased on the approval of this
application. r ' —1