SD-2011-00205_0001.tif Z y
CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Application (402)426- 4191 -Phone
p�o� (402)426- 4195 -FAX
SD- 20�� - UU2U5 .
se os a www.blairnebraska.org
06/08/2011 SIGNDECK Residential June 8, 2011
T• LOCATIONOFIMPROVEMENT: 652 N 10th Ave, Blair, NE 68008
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ARCHITECT:
GENERAL SELF
OWNER: Steven A Stodola CONTRACTOR:
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652 N 10th Ave Blair, NE 68008
BLAIR, NE 68008 -0000
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NATURE OF WORK PROPOSED USE
Deck Primary Structure
PROJECT NAME PERMIT EXPIRES 06107/2013
652N 10thAve- 110608 -1
ESTIMATED COMPLETION DATE 2011 -07 -31
DESCRIPTION OF WORK
Replacing existing decks with new decks of same size and partially covered
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DEPOSIT PAID BY: SITE PLAN SUBMITTED: Received
Contractor
REScheck/COM check SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: Received
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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 undersi ed owner or agent agrees to perform the proposed work in accordance with the specifications set forth above and
in accorda ee with the codes/ rd'inances of the City of Blair and the State of Nebraska. Any omission of or misrepresentation of
fact with r` without the int 'on of the undersigned or any alteration or change from this application without approval of the
Building fficial, shall ons t e sufficient g n�� for the revocation of any permit issued which was based on the approval of this
applic on. J
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Signature pplicant - Date