MS-2011-00227_0001.tif CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
1111 111 rlt�l App licati o n
(402)426- 4191 -Phone
(402) 426 -4195 - FAX
MS - 2011 - 00227 b10 ise °+ www.blairnebraska.org
06/20/2011 bpeterse MISC Residential June 20, 2011
LOCATION OF IMPROVEMENT: 675 Hillcrest Dr, Blair, NE 68008
ARCHITECT: GENERAL SELF
` CONTRACTOR:
OWNER: Mindi Fowler
675 Hillcrest Dr Blair, NE 68008
l: Blair, NE
NATURE OF WORK PROPOSED USE
Fence Primary Residence
PROJECT NAME PERMIT EXPIRES 06/19/2013
675H illcrestDr- 110620 -Fence
ESTIMATED C OMPLETI ON DATE 2011 -06 -30
DESCRIPTION OF WORK
4' chain link fence to enclose backyard. Section of fence already exists on back property line.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: Received
Owner
REScheck/COMcheckSUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
$50
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
all constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
appitib
s
. SignatO e of Applicant Date