MS-2015-00137_0001.tif i
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CITYOF BLAIR
218 S.16TH STREET
BLAIR, NEBRASM 68008
Buildin Pe rmi t App licati on (402) 426-4191 - Phone
(402) 4264195 - FAX
rFe of b 'www.bl
03/13/2016 MISC Commercial March 13, 2015
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LOCATIONOFIMPROVEMENT: 266 Grant St, Blair, NE 68008
,r" �= ARCH nECT. GENERAL McKinnis Roofing S Sheet Metal
OWNER: Rd Family Ltd Partnership CONTRACTOR
164 S 1st St
7417 N 101st St Blair, NE 68008
OMAHA, NE 68122 -0000
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NATURE OF WORK STRUCTURE
Storm Repair Primary Residence
PROJECT NA
PERM EXP 0311212017
256GrantSt- 150313 -2014 Storm Damage
ESTIM COM PLETIO N T 1213112015
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DESCRIPTIO O F WORK
Removing and Replacing EPDM Roof System.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheck 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 j
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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Signature o pplicant Date