ms-2015-00956.tif i
r � CITYOF BLAIR
' 218 S.16TH STREET
BLAIR,NEBRASKA68008
1 Application (402)426-4191 - Phone
(402)426-4195-FAX
-2015-00956 "„se o{aid" www.blairnebraska.org
11/18/2015 Shelly) MISC Commercial November 18,2015
LOCATIONORMPROVEMENT: 132 S 17th St, Blair, NE 68008
4ARCHITECT:
GENERAL "Total Construction Services, Inca
OWNER: Donnie M Skar
CONTRACTOR:
6 n�
6727 N.56th St
1553 Grant St Omaha, NE 68152
" BLAIR,NE 68008-0000
DOME
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NATURE OF WORK STRUCTURE
Storm Repair Primary
)ECT N PERMIT EXPIRES 11/17/2017
PRO132S17thSt-151118-2014 Storm Damage
ESTIMATED COMPLETION DATE 12/31/2015
DESCRIPTION OF WORK
Reroofing
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck1COMcheck 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 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.
sign o Applicant
_ - Date
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