MS-2015-00843.tif CrTYOFBLAIR
219 S.16TH STREET
BLAIR,NES S 09
1' 1 IApplication {dot)42 191 -Phone
v ,. (402)426.4195-FAX
MS-2015-0084 , �'��„�}� ,Aad www.blairnabraska.org
110 / 016 MISC Commercial October 5,2015
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LOCATiONOFIMPROVEMENT: 1555 Washington St, Blair,NE 55009
ARCHITECT: GENERAL. McKinnis Roofing & Sheet Metal
OWNER. Gregory P Drew CONTRACTOR: @q t�
y a� 16�4S1stSt
1555 Washington St Blair,NE 65008
BLAIR,NE 58008.0000
NATURE OF WORK STRUCTURE
Storms Repair
Drew Law Office
PERMIT EXPIRES 10/04/2017
PROJECT NAMEL
1555WashingtonSt-151005-2014Storm
I ESTIMATED COMPLETION DATE 12131/2016
Damage
DESCRIPTION
F Remove and Replace TPO Roof, gutters and downspouts.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheck SUBMITTED: NA
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DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
$50
3
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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Date
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Si attire ®f Appiicant
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