MS-2011-00087_0001.tif CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Application (402)426- 4191 -Phone
(402) 426 -4195 - FAX
A °Ise of Q www.blairnebraska.org
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03/16/2011 DITION Residential
AD March 22, 2011
LOCATIONOFIMPROVEMENT: 9505 Co Rd 29, Blair, NE 68008
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ARCHITECT:
j GENERAL Warden Construction
: OV\NER: John R And Julie C Henton CONTRACTOR: 14755 County Rd 14
I 9505 CO RD 29 Blair, NE 68008
L' BLAIR, NE 68008 -0000
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NATURE OF WORK PROPOSED USE
Addition Accessory Structure, 38 x 37
PROJECT NAME PERMIT EXPIRES 03/15/2013
9505Co Rd 29- 110316 -Two Storage
Additions ESTIMATED COMPLETION DATE 2011 -09 -30
DESCRIPTION OF WORK
Two 14x35 lean to storage additions built onto opposite sides of existing accessory structure. No electrical.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: Received
Contractor
REScheck /COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: Received
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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 Official, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
ap Iication.
Signat e of Applicant
Date
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