2257.tif ^
CITYOFBLAIR
2MOS.1STHSTREET
BUVR, NEBRASKA 68mon
Building P A (402)426'4191 Ph
MS-2014-02257 110 ise 01 IV* www.blairnebraska.org
MISC Residential August 18, 2014
LOCATION OF IMPROVEMENT: 1211 Corey Dr, Blair, NE 68008
GENERAL J S Construction Consultants
OV\NER: Clark E And Clare Cowling
1211 Corey Dr OMAHA, NE 68154
BLAIR, NE 68008-2714
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mmons
NATURE OF WORK STRUCTURE
Storm Repair Primary Residence
PROJECT NAME PERMIT EXPIRES 08117/2016
121 Corey Dr-1 40818-2014 Storm Damage ESTIMATED COMPLETION DATE 12/31/2014
DESCRIPTION OF WORK
Roof, gutters
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheckICOMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
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 nragent understands and acknowledges this building permit application does not constitute issuance of
this building permit. It ia further understood that construction covered by this permit application shall not be commenced until a
copy ofa permit signed by the Building Inspector ioissued.
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 Offinin|, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
app lication .
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