MS-2011-00215_0001.tif CITY OF BLAIR
r ` 218 S. 16TH STREET
BLAIR, NEBRASKA 68008
M B uilding P ermit App lication (402)426- 4191 -Phone
��� (402) 426 -4195 - FAX
MS -2011 -00215 10 (402)
°s a www.blairnebraska.org
06/14/2011 bpeterse MISC Residential June 14, 2011
LOCATIONOFIMPROVEMENT: 1943 Lincoln St, Blair, NE 68008
ARCHITECT:
GENERAL Total Construction Services, Inc.
OWNER: Brian K And Sue A Woebbecke CONTRACTOR: 6727 N. 56th St
1943 Lincoln St Omaha, NE 68152
BLAIR, NE 68008 -0000
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NATURE OF WORK PROPOSED USE
Fence Primary Residence
PROJECT NAME PERMIT EXPIRES 06/1312013
1943LincolnSt- 110614 -Fence
ESTIMATED COMPLETION DATE 2011 -07 -31
DESCRIPTION OF WORK
6' privacy fence to enclose backyard. On property lines on south and west sides. 12' from property line on east side.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: Received
Contractor
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
,application.
Signature of Applicant Date