MS-2011-00483_0001.tif CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
U 1 ld 111 Permit (402) 426- 4191 - Phone
(402) 426 -4195- FAX
MS - 2011 - 00483 °n, ot ° °° www.blairnebraska.org
10/28/2011 bpeterse MISC Commercial October 28, 2011
In = LOCATIONOFIMPROVEMENT: 575 S 1st St, Blair, NE 68008
ARCHITECT:
�. GENERAL Guier Fence
OWNER: Michael M Borer CONTRACTOR: 13239 Portal Dr Ste 107
5903 N 163rd St OMAHA, NE 68138
OMAHA, NE 68116 -0000
NATURE OF WORK PROPOSED USE
Fence Primary Commercial
PROJECT NAME PERMIT EXPIRES 10127/2013
575S1 stSt-1 1 1028-Fence ESTIMATED COMPLETION DATE 2011 -12 -01
DESCRIPTION OF WORK
5' galvanized chain link fence on east side of property behind the building.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: Received
Contractor
REScheck/COMcheck 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
Building Official, shall con titute sufficient ground for the revocation of any permit issued which was based on the approval of this
applicati? . r ,
Date
Signature of Applicant