2862.tif CITYOFBLAIR
rh --
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
UI�C�IIIg P @t"t111t A�J�J�IC1tlOt1 (402) 426 -4191 -Phone
a� (402) 426 -4195 - FAX
MS- 2014 -02862 ° wise of ago www.blairnebraska.org
09/24/2014 bpeterse TM ISC Residential September 24, 2014
LOCATION OF IMPROVEMENT: 10070 Cord P35, Blair, NE 68008
ARCHITECT: GENERAL Eric Adams Contracting LLC
OWNER: Bradley J And Johnson, Cora L Carson CONTRACTOR:
1911 Avenue C
10070 Co Rd P35 COUNCIL BLUFFS, IA 51501
BLAIR, NE 68008 -0000
17 7 _,. >, / ..; ;. ..._ ,.. 3 :. ,.. ., C -. ,. F ,.. <J kx , 3 . f -, z _:.. ,:, G.... . x, H r" "i+. '.. a .. %" J.✓ ._7:.
r' ".-
""�,- --^-
:,,>
NATURE OF WORK STRUCTURE
Storm Repair Primary Residence
PROJECT NAME PERMIT EXPIRES 09/23/2016
10070Cord P35- 140924 -2014 Storm Damage
ESTIMATED COMPLETION DATE 12131/2014
DESCRIPTION OF WORK
Re- roofing, siding and gutters.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck /COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
$50
{
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 fl. �
out the intention of the undersigned or any alteration or change from this application without approval of the C
Buildin g i shall constitut sufficient ground for the revocation of any permit issued which was based on the approval of this
,
applicati
Date
Signature of Applicant