MS-2011-00115.tif l OF BLAIR
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MS- 2011 -00115 �'o� o f a�a`' w ".bla nebraska.org
04/0812011 MISC Residential April 11, 2011
LOCATIONOFIMPROVEMENT. 1016 N 24th Ave, Blair, NE 68008
ARCHITECT:
GENERAL Acreage Fences
OWNER: Michael G And Darlene K Biddle CONTRACTOR: 8635 Military Rd
1016 N 24th Ave Omaha, NE 68134
BLAIR, NE 68008 -0000
NATURE OF WORK PROPOSED USE
Fence Primary Residence
PROJECT NAME PERMIT EXPIRES 0410712013
1016N24thAve- 110408 -Fence
ESTIMATED COMPLETION DATE 2011 -05 -15
DESCRIPTION OF WORK
One Section of 6' almond color pvc fence on property line on North side of property.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: Received
Contractor
REScheck/COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
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
tion.
Signature of Applicant Date
CITY OF BLAIR, NEBRASKA
Phone 402 - 426 -4191
RECEIVED OF:
ADDRESS -
CITY, STATE, ZIP CODE
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THANK YOU KEEP THIS COPY FOR YOUR RECORDS.
NO RECEIVED BY
Pounds Printing, Blair, NE 68008
City of Blair Due Invoice u
218 S 16th Street Page 1 of 1
Blair, NE 68008
DATE 4/11/2011
0 . Se os Q ° Phone: (402) 426 -4191
Fax: (402) 426 -4195
ACCOUNT:
Acreage Fences
8635 Military Rd PERMIT NUMBER MS- 2011 -00115
Omaha NE 68134
1016 N 24th Ave
Phone: 402-571-0511 BC LARSENS STILLMEADOW LOT 19 113 PC 19
Blair, NE 68008
Date Reference Number Invoice Number FeeCat Description Status Amount
4111/2011 MS -2011 -00115 2011 -00718 01- 002 -2631 Building Permit Deposit Due 50.00
4/812011 MS- 2011 -00115 2011 -00718 01- 009 -4264 Building Permit Fees Due 25.00
4/812011 MS- 2011 -00115 2011 -00718 01- 009 -4264 Building Permit Fees Due 40.00
Total Due 115.00
1 hereby certify that I have read and examined this application and know the same to be true and correct. All
provisions of laws.
Signature of Contractor or Authorized Agent
Save Time & Money with Online Permits and Inspections. Go To: www.buildingdepartment.com
CITY Of I)LAIQ
e of
FENCE PERMIT SUPPORTING DOCUMENTS
This supporting document includes information dealing with particular code
requirements and /or fence permit requirements. It in no way includes ALL particular
code items. Also, it is your responsibility to know the 2006 International Building
Code requirements that apply to your project. Please understand this document is only
designed and distributed to aid you in your fence permit process. A copy of the
International Building Code is available for your use at the Blair Public Library.
have read the above disclosure and accept this building permit documentation on my
own behalf assuming full responsibility as the owner /contractor for this project.
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Owner /Occupant ontractor
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3 1 1 1 1
City of Blair Date
218 South 16th Street • Blair, Nebraska 68008 • 402 - 426 -4191 ^ Fax 402 -426 -4195 g E-mail cityofblalr @cl.blalrne,us
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