MS-2011-00240_0001.tif r CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Application X402 >426 - 4191 -Phone
) 426-4195 - FAX
MS - 2011 - 00240 °n,rs 01 www blai nebraska.org
06/24/2011 bpeterse MISC Residential June 24, 2011
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LOCATIONOFIMPROVEMENT: 2007 Park St, Blair, NE 68008
ARCHITECT: GENERAL SELF
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OWNER: Matthew and Anne Chrans CONTRACTOR:
-� 2007 Park St Blair, NE 68008
Blair, NE 68008
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NATURE OF WORK PROPOSED USE
Fence Primary Residence
PROJECT NAME PERMIT EXPIRES 06123/2013
2007ParkSt- 110624 -Fence
ESTIMATED COMPLETION DATE 2011 -09 -01
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DESCRIPTION OF WORK
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4' wood privacy fence to enclose backyard. j
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DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
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Contractor
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REScheck/COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
Held
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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 j
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
appli r ation. �
SignatuA of Applicant Date