MS-2011-00394_0001.tif CITY OF BLAIR
218 S. 16TH STREET
> BLAIR, NEBRASKA 68048
y i . ;; - Building Permit A pp li ca ti on (442)426 - 4°101 - Ph.
MS- 2011 -00394 yr � � ;qa (442) 426 -4195 FAX
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09/15120/1 MISC Residential September 15, 2411
LOCATIONOFIMPROVEMENT. 2047 Northridge Cir, Blair, NE 68008
ARCHITECT:
GENERAL McKinnis Roofing & Sheet Metal
OWNER: Christopher J And Cynthia K Heng CONTRACTOR: 164 S 1st St
2047 Northridge ter Blair, NE 68008
BLAIR, NE 58008 -0000
...,
NATURE OF WORK PROPOSED USE
aiding Primary Residence
PROJECT NAME PERMIT EXPIRES 09114/2013
2047NorthridgeCir- 110915- Siding ESTIMATED COMPLETION :DATE 2011 -09 -30
DESCRIPTION OF WORK
Siding Horse
I
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck /COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
$50
I
10 s
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 Offtctal, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of, this j
applica ion,
Signature of Applicant Dale