MS-2015-00065_0001.tif i
CITYOF BLAIR
218 S.16TH STREET
BLAIR, NEBRASKA 68008
Building Permit App licat ion (402) 426 -4191 - Phone
WS °201 5°0 ®0fi5 A ` °�ni8$ 01 � (402) 426 -4195 -FAX
www. blairnebras ka.or0
1211212015 MISC Residential February 12, 2015
LOCATIONOFIMPROVEMENT: 13153 Jane Ln, Blair, NE 68008
ARCHITECT:
GENEk AL McKlnnis Roofing & Sheet Metal
OWNER: Hugh &Jane Hunt CONTRACTOR:
y 1 S 1st St
�' 13153 Jane Ln Blair, NE 68008
Blair, NE 68008
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NA TURE F WORK S TRUCTU RE
Storm Repair Primary Residence
PRO PERMIT EXPIRES 02/1112017
13153JaneLn- 150212 -2014 Storm Damage
E STIMA TED COMPLETION TE W 12 / 2015
D ESCRIPTION F WORK
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Remove and Replace metal roof and home and garage. May be doing windows also.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck1COMcheckSUBMITTED: 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 j
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.
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49nature of ApIl ( Date