MS-2015-00628.tif i
CITY017BLAIR
218 S. '16TH STREET
BLAIR, NEBRASKA 68008
i s (A02} 42 191 - phone
B uilding i Application
y ,a' (402) 426 -4195 - F AX
MS- 2015-00628 �'"��„ CA � ` .blairnebraska.org
18103/2015 DISC Cammercial August 3, 2015
LO:.ATiONOFIMPROVEMENT: 330 S let St, Blair, NE 68008
ARCHITECT:
GENERAL M cKInnIs Roofing Sheet Metal
OWNER: Professional Farms, Inc
OONTRACTOR
164 S 1st St
330 S 1st St Blair, NE 68006
BLA IR, NE 68008.0000
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NATURE OF WORK STRUCTURE
Storm Repair Pro Forms, Inc.
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PERM EXP 08/0212017
PROJEC
330S1sstSt -1 803 -2014 Storm Damage ES TIMA TED l - TI T 12/31/2015
DESCR IPTION j
Remove and Replace Roof and wall panels, gutters
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DEPOSIT PAIL) Y: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheck SUBMITTED: NA
D EPOSIT 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.
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g Date
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