DR-2012-00006_0001 (2).tif ! CITY OF BLAIR
218 S. 1 6TH STREET
BLAIR, NEBRASKA 68008
Building Permit Application (402)426- 4191 -Phone
OR -� ®7 2 -00006 g��U;•�� (402) 426 -4195 - FAX
se o+ www.blairnebraska.org
01/05/2012 DECKRAMP Residential 7 January 24, 2012
LOCATIONOFIMPROVEMENT: 638 N 16th St, Blair, NE 68008
ARCHITECT:
d GENERAL SELF
OWNER: Corby A Bowen CONTRACTOR:
638 N 16th St Blair, NE 68008
BLAIR, NE 68008 -0000
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NATURE OF WORK PROPOSED USE
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Deck Primary Residence
PROJECT NAME
PERMIT EXPIRES 01/04/2014
638N16thSt- 120105 -Deck (Roof overhang)
ESTIMATED COMPLETION DATE 2012 -03 -31
DESCRIPTION OF WORK
Roof with footings overhanging deck in the front yard.
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DEPOSIT PAID BY: SITE PLAN SUBMITTED: Received j
Contractor
REScheck /COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: Received
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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 nd for the revocation of any permit issued which was based on the approval of this
a ii tion.
Signature ofAp li ant Dat