MS-2015-00544_0001.tif i
CITYOFBLAIR
! 218 S.16TH STREET
BLAIR, NEBRASKA 68008
s u i l i n Perm (402) 426 -4191 - Phone
(402)426 -4195 - FAX
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MS-2015-00544 ° ' °mrs� o � a ° °�� www.blairnebraska.org
0'7!01/2015
MISC Residential July 1, 2015
LOCATIONOFIMPROVEMENT: 535 N 23rd St, Blair, NE 55008
ARCHITECT.
GEN&M McKinnis Roofing Sheet Metal
OWNER: Henry R Trustee Gregory
CONTRACTOR:
164 S 1st St
".:
2068 Nebraska St Blair, NE 68008
BLAIR, NE 68008 -0000
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NATURE OF WORK STRUCTURE
Primary Residence
Storm Repair
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PERMIT EXPIRES 06/30/2017
PROJECT NAIVE
535N23rdSt- 150701.2014 Storm Damage ESTIMATED COMPLETION DATE 1213112016
DESCRIPTION OF WORK
Garage siding, gutters, garage gutters and fascia.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
NA
REScheck /COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED. NA
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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 Offide 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
app' anon,
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Date
Signature of Ap !cant