684.tif CITY0FBLAIR
218 S. 16TH STREET
BLAIR, NEBMSKA68008
(402) 426-4191 - Phone
Building Permit Application
MA - FAX
IMAN -4195
(402)426
www.blairnebraska.org
MS-2014-00684 Ise ol
L 06127/2014 MISC Residential June 27, 2014
LOCATIONOFIMPROVEMENT: 214 Jackson St, Blair, NE 68008
ARCHITECT: GENERAL Home Science Solutions
A D OV\NER: Christopher P Cozad CONTRACTOR: 4909 Burt St
OMAHA, NE 68132
---------- 214 Jackson St
-0000
BLAIR, NE 68008
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NATURE OF WORK STRUCTURE
Storm Repair Primary Residence
PERMIT EXPIRES 06/26/2016
PROJECT NAME
214JacksonSt-140627-2014 Storm Damage ESTIMATED COMPLETION DATE 1213112014
DESCRIPTION OF WORK
Roofing, gutters, siding, windows
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor REScheck/CO M check SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
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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 i ial, shal constitute sufficient ground for the revocation of any permit issued which was based on t e a provai of this
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