816.tif C
CITYOF BLAIR I
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
(402) 426.4191 - Phone
� K x Bu ilding P i I C tM 402 426 -4195 FAX
-2014 0 0816 Ise of
9A` www.blairnebraska.org I
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MISC Residential' July 2, 2014
07/0212014
LOCATIONOFIMpROVEMENT: 1406 Jackson St, Blair, NE 68008
ARCHITECT: GENERAL Dr Exteriors, LLC
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OWNER: Larry M And Linda L Bowen CONTRACTOR: 5812 N 96th St
OMAHA, NE 68134
' 1406 Jackson St
BLAIR, NE 68008 -0000
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NATURE OF WORK STRUCTURE
Primary Residence
Storm Repair
PERMIT EXPIRES 07/01/2416
PROJECT NAME
1406JacksonSt- 140702 -2014 Storm Damage ESTIMATED COM PLETION DATE 1213112014
DESCRIPTION OF WORK
Roofing, gutters, siding, windows
DEPOSIT PAID BY:
SITE PLAN SUBMITTED: NA
Contractor
REScheck/CQMcheckSUBMlTTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
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1. No work will be started before a permit is ISSUED AND POSTED. itted to the Nebraska State Fire Marshal's Office for review.
2. For commercial permits, a set of plans for this project must be subm
3. Separate permits are required for electrical, plumbing, heating, ventilating and air conditioning, and septic system.
4. Th a undersi ned owner or agent understands and acknowledges this building permit application does not nced until a
issuance of
g
this building permit. It is further understood that construction covered by this permit application shall no e
copy of a permit signed by the Building Inspector is issued.
5. The undersigned owner or agent agrees to perform the proposed work in accordaaska w it h
tAnh omission of or misrepresentati of
in accordance with the codes /ordinances of the City of Blair an alteratio S tat e change from this application without approval of the
fact with or without the intention of the undersigned or any or permit issued which was based on the approval of this
Building Official, shall constitute sufficient ground for the revocation of any p
application.
Date
Signature of Applicant