RE-2011-00220_0001.tif CITY OF BLAIR
218 S. 16TH STREET
{ BLAIR, NEBRASKA 68008
B uilding Permit lication (402)426 -4191 -Phone
p (402) 426 -4195 - FAX
RE- 2011 -00220
Ise o, www.blairnebraska.org
06/1512011 REMODEL Residential July 19, 2011
LOCATION OF IMPROVEMENT: 455 N 22nd St, Blair, NE 68008
ARCHITECT: GENERAL Lynn Scheibe
`, •. ; OWNER: David W And Lynn M Scheibe CONTRACTOR: 455 N 22nd St
rr 455 N 22nd St Blair, NE 68008
BLAIR, NE 68008 -0000
L I J
NATURE OF WORK PROPOSED USE
Remodel Primary Residence
PROJECT NAME PERMIT EXPIRES 06/14/2013
455N22ndSt- 110615- Residential Remodel
ESTIMATED COMPLETION DATE 2011 -09 -01
DESCRIPTION OF WORK
Remodeling main floor, gutting kitchen, gutting bathroom and re -doing bathroom and kitchen. Drywalling ceiling in
living room..
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: Received
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
pplica
�gWaturg fApplicant Date