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SD-2011-00311.tif I I e CITY OF BLAIR 218 S. 16TH STREET J GLAIR, NEBRASKA 68008 Building Permit Application (402)426- 4191 -Phone \,�� (402) 426 -4195 - FAX SD- 2011 -00311 �'�ss © aao www.blairnebraska.org 08/15/2011 SIGNDECK Residential August 17, 2011 LOCATIONORMPROVEMENT: 1606 Wilbur St, Blair, NE 68008 ARCHITECT: k; GENERAL Valley View Construction ` OWNER: Gary W And Susan E Thomas CONTRACTOR: 601 Howard St 1606 Wilbur St Scribner, NE 68057 s BLAIR, NE 68008 -0000 r Y g (r -( 1E. NATURE OF WORK PROPOSED USE Deck Primary Residence PROJECT NAME PERMIT EXPIRES 02/12/2012 1606WiI burst- 110815 -Deck ESTIMATED COMPLETION DATE 2011 -09 -30 DESCRIPTION OF WORK Deck off of the back of house 12 x 12 deck, 5° high. DEPOSIT PAID BY: SITE PLAN SUBMITTED: Received i 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 app" "on wi ut approval of the B 'Iding Official, shall constitute sufficient ground for the revocation of any permit issued which was base on t approval of this ap lication. D to S5P ture of Applicant '� 9 EBRASKA i C ITy OF BLAI Phone 402- 426 -4191 j I RECEIVED OF' ADDRESS ¢ CITY, STATE, ZIP CODE { ;r k 1 i I I I 1 I I I I I I I I I I IM. 3 THANKYOU KEEP THIS COPY FORYOUR RECORDS v Al �. NO I Pounds Printing, Blair, NE 68008 i C1 T-L Y Of t)tAIQ VN ............................. r BUILDING PERMIT SUPPORTING l This building permit packet includes various requirements and /or building permit requirements. It Ir code items. Also, it is your responsibility to know tl Code requirements that apply to your project. PleasE designed and distributed to aid you in your building permit process. A copy of the International Building Code is available for your use at the Blair Public Library. I j I I have read the above disclosure and accept this building permit documentation on my own behalf assuming full responsibility as the owner /contractor for this project. Owner /Occupant Contractor City of Blair Date 218 South 16th Street • Blair, Nebraska 68008 • 402 - 426 -4191 • Fax 402 -426 -4195 • E -mail cityofblair @ci,blair,ne.us