MS-2015-00703.tif DITY BLAIR
216 S. 16TH STREET
BLAIR, NEBRASKA 68006
I ' 1 Pe I I (402) 42"191 a Phone
(402) 42 195 - FAX
CMS 2 - 0 0 70 `�� �i au www.blairnebraska.org
08f20I2015 MiSC Commercial August 20, 2015
LOCATIONOFIMPROVEMENT: 1718 Washington St, Blair, NE 68008
ARCHITECT: GENERAL McKinnis Roofing & Sheet Metal
;' OWNER Richard And Barbara J Ortmeier CONTRACTOR
164 S 1st St
832 N 14th Ave Blair, NE 68008
BLAIR, NE 68008 -0000
NATURE OF WORK STRUCTURE
I Storm Repair Ahead of the Curve
PERM EXPIRES 08/19/2017
PRO JECT
I 17181NashingtonSt- 150820- 2014Stonn
D amage ES TIMA TED COMPLE T 12/31/2015
DE SCRIPTI ON
Remove and replace EPDM roofing, gutters and downspouts.
I
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
RchecklCOMcheck 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 codesfordinances 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.
Date
Sienat of Applicant
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