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CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
(402) 426-4191- Phone
(402) 426-4195 - FAX
www.blairnebraska.org
PERMIT NUMBER:
ISSUED:
PERMIT TYPE:
NAME OF PROJECT:
JOB SITE ADDRESS:
TYPE OF WORK:
VALUATION:
ZONING DISTRICT:
MISC. BUILDING PERMIT
PRMS20190176-MS1
August 15, 2019
Misc. Building Permit
Misc. Building Permit
12324 Irma Ave, Blair, NE 68008
Siding
$2,400.00
EXPIRATION DATE:
PAYMENT METHOD:
RECEIPT NO:
August 15, 2021
Credit Card
3297
PARCEL # 890020727-097
LEGAL DESCRIPTION TL 45 Lot 097 26-18-11
ISSUANCE FEE: $25.00
PERMIT FEE: $40.00
DEPOSIT: $50.00
IN PURSUANCE OF THE FILING OF THE REQUIRED APPLICATION AND PLANS AND SPECIFICATIONS BY:
PRIME CONTRACTOR: OWNER:
Self Williams, Susan
(see property address) 12324 Irma Ave
Blair, NE 68008 Blair, NE 68008
PERMISSION IS HEREBY GRANTED TO:
Residing mobile home.
Occupancy:
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONST
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED I
WORK IS NOT COMPLETED WITHIN TWO (2) YEARS OF DATE
NO PREMISES SHALL BE OCCUPIED UNTIL A CERTIFICATE OF U.
BUILDING OFFICIAL HAS BEEN ISSUED. THIS PERMIT DOES NOl
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBI
WORK WILL BE PERFORMED IN ACCORDANCE WITH THE SPE(
ORDINANCES OF THE CITY OF BLAIR AND THE STATE OF NEBF
THE ISSUANCE OF THIS PERMIT IS FOR THE WORK SPECIFIED
ALTERATION FROM THE AFORESAID APPLICATION OR PLANS
NOTED IN ANY ADDENDUMS ISSUED BY THIS DEPARTMENTS
INCORPORATED INTO THE WORK. THE ISSUANCE OF A BUILD
ABSOLVE THE OWNER, OR CONTRACTOR FROM COMPLYING