MS-2015-00146_0001.tif I �
CITYOF BLAIR
218 S.16TH STREET
1R, NEBRASKA 68008
B Pe App licat ion (�2 ) 426 -4181 - Phone
01 6-001 �° ��• (402) 426.4195 - FAX
° ma8s bs a °° � www.blairnabraska.org
03/17/2015 MISC Commercisl March 17, 2015
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LOCATIONOFIMPROVEMENT: 1538 Lincoln St , Blair, NE 68008
, AWHI7ECT:
GENERAL McKinnis Roofing & Sheet Metal
OWNER: CONTRACTOR:
Inc CONTRACTOR:
' 164 S 1st St
1538 Lincoln St Blair, NE 68008
BLAIR, NE 68008 -0000
� £ ski rs
NATURE OF WORK STRUCTURE
Storm Repair American Broadband building #7
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PROJE NAME PERMIT EXPIRE 03/16/2017
1638LincolnSt- 150317 -2014 Storm Damage
ESTIMAT COMPLE T 12/3112015
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DE F WOR
American Broadband building #7 (Three buildings on this property, they are 6, 7 & 8) Remove and Replace with 60 mil
EPD M.
DEPOSIT PAID BY: SITE FLAN SUBMITTED: NA
Contractor
REScheckfCOMcheck 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 Applicant t Date