ad-2011-00323_0002.jpg CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
%nit,lh °iw i "il Building Permit Application (402)426- 4191 -Phone
(402) 426 -4195 - FAX
AD - 2011 - 00323 °mIse 01 www.blairnebraska.org
08/18/2011 ADDITION Residential August 18, 2011
LOCATIONORMPROVEMENT: 15070 Cord 18, Blair, NE 68008
ARCHITECT:
GENERAL. Juanita And Eleazar Cortez -Baeza Cortez
OWNER: Juanita And Eleazar Cortez -Baeza Cortez CONTRACTOR: 18 15070 Co Rd
��L IMt 18 15070 Co Rd BLAIR, NE 68008 -0000
F l BLAIR, NE 68008 -0000
7
NATURE OF WORK PROPOSED USE
Addition Pole Barn
PROJECT NAME PERMIT EXPIRES 08/17/2013
15070Cord 18- 110818 -1 -Pole Barn Addition 2011 -10 -31
ESTIMATED COMPLETION DATE
DESCRIPTION OF WORK
36 x 34 pole barn to house animals - addition to existing pole barn building
DEPOSIT PAID BY: SITE PLAN SUBMITTED: Received
Contractor
REScheck/COMcheck 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. L/
2. For commercial permits, a set of plans for this project must be submitted t(
3. Separate permits are required for electrical, plumbing, heating, ventilating <
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4. The undersigned owner or agent understands and acknowledges this bu �\� e of
this building permit. It is further understood that construction covered by til 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 and
in accordance with the codes /ordinances of the City of Blair and the State i of
fact with or without the intention of the undersigned or any alteration of the
Building Official, shall constitute sufficient ground for the revocation of any `.his
ap ica ion.
Signature of A licant - -