MS-2011-00173_0001.tif f
CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Application (402)426- 4191 -Phone
a�o,�• (402)426- 4195 -FAX
MS- 2011 -00173
se o f a www.blairnebraska.org
05/18/2011 eterse MISC Residential May 18, 2011
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LOCATIONOFIMPROVEMENT: 1006 State St, Blair, NE 68008
ARCHITECT:
a GENERAL Warden Construction
OWNER: Karen E Olson CONTRACTOR: 14755 County Rd 14
1006 State St Blair, NE 68008
BLAIR, NE 68008 -0000
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NATURE OF WORK PROPOSED USE
Fence Primary Residence
PROJECT NAME PERMIT EXPIRES 05/17/2013
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1006StateSt- 110518 -Fence
ESTIMATED COMPLETION DATE 2011 -06 -01
DESCRIPTION OF WORK
42" chain link fence to enclose side yard. Has easement.
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DEPOSIT PAID BY: SITE PLAN SUBMITTED: Received
Contractor
REScheck /COMcheckSUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
Held
NO
WMI
.,
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 he intention of the undersigned or any alteration or change from this application without approval of the
Bvildi Official, sh II constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
ap Ii tin
5' ature of Applicant Date
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