MS-2011-00077_0001.tif j
CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Application (402)426- 4191 - Phone
(402) 426 -4195 - FAX
MS - 2011 - 00077 b ' °m; of Q ° ° �� www.blairnebraska.org
03/21/2011 MISC Residential March 21, 2011
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LOCATIONOFIMPROVEMENT: 1473 Wilbur St, Blair, NE 68008
ARCHITECT:
GENERAL SELF
OWNER: Roger D Wheeler CONTRACTOR:
1473 Wilber St Blair, NE 68008
BLAIR, NE 68008 -0000
C}y 9
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NATURE OF WORK PROPOSED USE
Patio /Driveway Driveway - Primary Residence
PROJECT NAME PERMIT EXPIRES 03120/2013
1473WilburSt-1 10321 -Curb Grind ESTIMATED COMPLETION DATE 2011 -05 -01
DESCRIPTION OF WORK
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Extending driveway on east and west sides. Driveway will be 4' from property line on east side and 40+ feet on west
side.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Owner
REScheck /COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
Held
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 Offici shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
a licatio �
Signature of Ap {cant Date
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