MS-2015-00754.tif i
i
CITYOFBLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
B uilding Permit Application (402) 426 -4191 -Phone
(402) 426 -4195 - FAX
MS- 2015 -00754 rse of ��° www.blairnebraska.org
M
08128/2015 bpeterse MISC Commercial August 28, 2015
i
i
LOCATION OF IMPROVEMENT: 238 S 13th St, Blair, NE 68008
l ARCHITECT:
GENERAL Troy Wakefield General Constracting
OWNER: Mch Auxiliary Thrift Shop, Inc CONTRACTOR:
6693 Co Rd 33
Blair, NE 68008
BLAIR, NE 68008 -0000
�r
. ,
AIX-
w
r_
NATURE OF WORK STRUCTURE
Storm Repair Primary
i
PRO JECT NAME PE RMIT EX 08/27/2017
238S13thSt- 150828 -2014 Storm Damage ES TIMA TED C DATE 12/31/2015
D ESC R IPTION OF WORK
Shingles to be replaced on front eave,gutters, some siding on north side
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
$50
I
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
pplication.
1
i
Date
Sign of Applicant
i
I