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CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Application (402)426- 4191 -Phone
9 (402) 426 -4195 - FAX
SD- 2011 -00205 ° rais e of QJO\��i www.blairnebraska.org
06/08/2011 SIGNDECK Residential June 8, 2011
LOCATIONOFIMPROVEMENT: 652 N 10th Ave, Blair, NE 68008
i) ARCHITECT:
•'� GENERAL SELF
OWNER: Steven A Stodola CONTRACTOR:
v;
652 N 10th Ave Blair, NE 68008
l BLAIR, NE 68008 -0000
NATURE OF WORK PROPOSED USE
Deck Primary Structure
PERMIT EXPIRES 06/07/2013
PROJECT NAME
652N10thAve- 110608 -1 ESTIMATED COMPLETION DATE 2011 -07 -31
DESCRIPTION OF WORK
Replacing existing decks with new decks of same size and partially covered
DEPOSIT PAID BY: SITE PLAN SUBMITTED: Received
Contractor
REScheck/COM check SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED:. Received
1£'J --1 / d r1 :-Vfl t i
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 undersi ed owner or agent. agrees to perform the proposed work in accordance with the specifications set forth above and
in accorda ce with the codes/ rdinances of the City of Blair and the State of Nebraska. Any omission of or misrepresentation of
fact with without the in on of the undersigned or any alteration or change from this application without approval of the
Building , fficial, shall ons t e sufficient V60 -' for the revocation of any permit issued which was based on the approval of this
applic on.
Date / 6
Signature o pplicant