MS-2011-00157_0001.tif i •� CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
kit u Buildin Permit Application (402)426 - 4191 -Phone
- \�� g (402) 426-4195 - FAX
MS -2011 -00157 tOn,lrg ai py4 www,blairnebraska.org
05/10/2011
MISC Residential May 11, 2011
LOCATIONOFIMPROWMENr 805 N 24th Ave, Blair, NE 68008
ARCHITECT: GENERAL Acreage Fences
OWNER: Virginia A Beck, Trustee CONTRACTOR: 8635 Military Rd
805 N 24th Ave Omaha, NE 68134
BLAIR, NE 68008 -1165
NIN
NATURE �. -
=o-
OF WORK PROPOSED USE
Fence Primary Residence
PROJECT NAME PERMIT EXPIRES 0510912013
805N24thAve- 110510 -Fence ESTIMATED COMPLETION DATE 2011 -06 -30
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DESCRIPTION OF WORK
4' vinly fencing to enclose backyard. Will be on property line on west side. 24' from the north side and 18' from the
south side.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: Received
Contractor
REScheck /COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
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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 ap roval of this
lic tion
ignature of Applicant Date