CE-2011-00131.tif CITY OF BLAIR
218 S. 16TH STREET
'm. BUI�C�Iflg P @Ptlllt IQp�J�ICa�1011 (LAIR, NEBRASKA 68008
- � 402 426 -4191- Phone
(402) 426-4195 FAX
CE- 2011 -00131 IO C /Se 01 q o° www.blairnebraska.org
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04/18/2011 CURB -EXC Residential April 18, 2011
LOCATIONOFIMPROVEMENT: 2450 Lincoln St, Blair, NE 68008
a ARCHITECT:
GENERAL S. Halverson Construction
e OWNER: Kent E And Sandra S Long CONTRACTOR: 1911 Grant St
2450 Lincoln St Blair, NE 68008
BLAIR, NE 68008 -1842 VI
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NATURE OF WORK PROPOSED USE
Patio /Driveway Driveway
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PROJECT NAME PERMIT EXPIRES 04117/2013
2450LincoinSt- 110418 -2 ESTIMATED COMPLETION DATE
2011 -04 -30
DESCRIPTION OF WORK
Grinding curb - extending driveway
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DEPOSIT PAID BY: SITE PLAN SUBMITTED: Received
Contractor
REScheck/COMcheckSUBMITTED: 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
application. j
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Signature of Applican L Date
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