RE-2011-00160_0001.tif �y CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
a Building Permit Application (402)426 =4191 -Phone
a i (402) 426 -4195 - FAX
RE '�n,s of a° www.blairnebraska.org
05113/2011 REMODEL Residential May 13, 2011
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' LOCATIONOFIMPROVEMENT: 10070 Cord P35, Blair, NE 68008
ARCHITECT:
GENERAL Heer Remodeling
fi OWNER: David J Heer CONTRACTOR: 8837 Co Rd 37
10070 Co Rd P35 Blair, NE 68008
BLAIR, NE 68008 -0000
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NATURE OF WORK PROPOSED USE
Remodel Primary Structure
PROJECT NAME PERMIT EXPIRES 05/12/2013
10070Cord P35- 110513 -1- Remodeling
ESTIMATED COMPLETION DATE 2011 -08 -31
DESCRIPTION OF WORK
Installing a second bathroom, create a new bedroom and install closets for bedrooms
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
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. j
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
Build' Official, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
app Pion.
ion.
Signature of Applicant Date