MS-2011-00195_0001.tif i
CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Application (402)426- 4191 -Phone
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MS- 2011 -00195 °m, os Q° www.blairnebraska.org
06/03/2011 MISC Residential June 3, 2011
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LOCATIONOFIMPROVEMENT: 710 S 10th St, Blair, NE 68008
ARCHITECT:
A GENERAL SELF
OWNER: Donald And Medlin, Kelly R Burdess CONTRACTOR:
8961 Golden Pond Ln Blair, NE 68008
BLAIR, NE 68008 -0000
NO
772 e e €. _,.;.,,�.,.... .. , >�.�.,. .. C��f. '- ,;,ri:,. NATURE OF WPROPOSED USE Fence Primary Residence
PROJECT NAMPERMIT EXPIRES 06/02/2013
710S10thSt- 110603 -Fence ESTIMATED COMPLETION DATE 2011 -08 -01
DESCRIPTION OF WORK
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6' privacy fence (wood) to enclose backyard.
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DEPOSIT PAID BY: SITE PLAN SUBMITTED: Received
Owner
REScheck/COMcheckSUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
$50
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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
a -plication.
Date
Signature of Applicant