MS-2015-00627.tif CITY OF BLAIR
218 8.16TN STREET
BLA IR, NEBRASKA 68008
I I 1 Application (402) 426-4191 - Phone
(402) 4264195 - F AX
WS -2015-0062 7 `° ;, t �`'°` www.blairnabraska.org
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10/03/2015 MISC Commercial August 3,2015
LOCATIONOFIMPROVEMENT: 1245 Lincoln St, Blair, NE 60008
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ARCHITECT.
GENERAL McKinnis Roofing & Sheet Metal
OWNER Richard And Barbara J Ortmeier CONTRACTOR:
164 S 1st St
832 N 14th Ave Blair, NE 60000
BLAIR, NE 60008.0000
NATURE OF WORK n.
STRUC
Storm Repair Ortmeier TV and Appliance
PROJECT NAME IT EXP IRES 08/02/2017
1243LincoinSt ®150803.2014 Storm Damage
ES T IMA TED T ON DA TE 1213112015
DES CRIPTI ON
Remove and Replace with 60 rail White TPO, gutters & downspouts
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DEPOSIT PAID Y: SITE PLAN SUBMITT NA
Contractor
REScheck/COMcheckSUBMITTED: NA
DEPOSIT STATUS: B UILDING 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.
. 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.
;Ignature of pplicant Date
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