MS-2011-00448_0001.tif i CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Application (402)426- 4191 -Phone
(402) 426 -4195 - FAX
MS- 2011 -00448 arO h/Se os a www.blairnebraska.org
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10/11/2011 bpeterse MISC Residential October 11, 2011
LOCATIONOFIMPROVEMENT: 11285 Bridgeview Dr, Blair, NE 68008
ARCHITECT: GENERAL SELF
OWNER: Howard Richard Jr And Jonnie L Wolfe CONTRACTOR:
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11285 Bridgeview Dr Blair, NE 68008
BLAIR, NE 68008 -0000
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NATURE OF WORK PROPOSED USE
Siding Primary Residence
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PROJECT NAME PERMIT EXPIRES 10110/2013
11285BridgeviewDr- 111011-Siding
ESTIMATED COMPLETION DATE 2012 -10 -11
DESCRIPTION OF WORK
Siding entire house with vinyl siding.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Owner
REScheck/COM check SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
$50
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
a uilding Official, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
p lication.
Sign re of Applicant Date
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