MS-2015-00148_0001.tif i
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CITYOFBLAIR
216 S. 16TH STREET
BLAIR, NEBRASKA68008
Building Pe rmit App lica tion (402) 4264191 - Phone
-205® �� p ` ° q„�` (402) 426 -4195 - FAX
www.bla
03/17/2015 MISC Commercial March 97, 2015
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LOCATIONOFIMPROVEMENT: , Blair, NE 68008
3� ARCHITECT: GENERAL McKinnis Roofing S Sheet Metal
�. OWNER: Karen B And Craig A Amen Co- Trustees CONTRACTOR:
Aman
� = 16451st St
610 Southfork Rd Blair, NE 68008
BLAIR, NE 68008 -0000
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N ATURE O O K STRUCTU E
Storm Repair American Broadband Building
PROJECT NA PERMIT EXPIRES 03/1612017
- 150317 - 2014 Storm Damage
E STIMATED COMPLETION DATE 12131/2015
DESCRIPTION OF WORK
Remove and Replace with 60 mil Fully Adhered EPDM Roof System.
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DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheckSUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
$50
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 pplicant Date
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