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CE-2011-00076_0001.tif i CITY OF BLAIR 218 S. 16TH STREET BLAIR, NEBRASKA 68008 Building Permit Application (402)426- 4191 -Phone (402) 426 -4195 - FAX CE- 2011 -00076 Ise of a' www.blairnebraska.org 03/21/2011 bpeterse CURB -EXC Residential March 21, 2011 LOCATIONOFIMPROVEMENT: 1473 Wilbur St, Blair, NE 68008 M ARCHITECT: aft, GENERAL SELF j OWNER: Rog er D Wheeler CONTRACTOR: s u g 1473 Wilber St Blair, NE 68008 a e BLAIR, NE 68008 -0000 !r 7 r s a `# , ,. �}���r' M"}{ ��{{"" p � r 3 'r.}�,>, F� }� r `'� ! E'' 1LLmv �� i PROPOSED USE Curb grind for driveway. C- j'�`d � PERMIT EXPIRES 03/2012013 i 1473WilburSt- 110321 -Curb Grind ESTIMATED COMPLETION DATE 2011 -05 -15 DESCRIPTION OF WORK i Grinding curb for driveway. DEPOSIT PAID BY: SITE PLAN SUBMITTED: Received NA REScheck /COMcheck SUBMITTED: NA DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA N/A #X r�', - �'ac*`.=x"x, §�,.r�' I i 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 w' out the intention of the undersigned or any alteration or change from this application without approval of the Building Offi d r shall con tit a sufficient ground for the revocation of any permit issued which was based on the approval of this a licatio Signature o pplic t Date I