ms-2015-00972.tif I
CITYOFBLAIR
{ 218 S.16TH STREET
BLAIR,NEBRASKA 68008
- - (402)426-4191 -Phone
Building PeiApplication
(402}426x4195-FAX
_ ® 1 - 7 �'�-'.�f�.,� ��°`� www.blalrnebrasica.org
11125/2015 Shelly) MISC Commercial November25,2015
LOCATIONOFIMPROVEMENT. 1638 Lincoln St,Blair,NE 68008
X_
ARCHITECT' GENERAL McKinnis Roofing & Sheet Metal
CONTRACTOR:
OWNER: Huntel, Inc
AA
164 S 1st St
r 1638 Lincoln St Blair,NE 68008
BLAIR,NE 68008-0000
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TU F STRUCTURE
Storm
T UCTUREStorm Repair Primary
PROJECTPERMIT11/24/2017
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1638LincolnSt-151125-2014 Storm Damage ESTIMATEDCOMPLETION DATE 6/30/2016
DESCRIPTION OF WORK
Remove& replace 60 jil EPDM membrane roof on bldg ##8
DEPOSIT PAID Y: SITE PLAN SUBMITTED: NA
Contractor
REScheckIC® check SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
$50
795<
MOM,
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.
Signature 4pplicant Date
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