RE-2011-00455_0001.tif i
CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Application (402)426- 4191 -Phone
(402) 426 -4195 - FAX
RE -2011-00455 0,0�' o� °`��
, se o� a www.blairnebraska.org
10/1312011 bpeterse REMODEL Residential December 7, 2011
LOCATIONOFIMPROVEMENT: 255 N 22nd St, Blair, NE 68008
ARCHITECT: GENERAL SELF
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OWNER: William Morehouse CONTRACTOR:
77/25 Blair, NE 68008
OMAHA, NE 68112 -0415
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NATURE OF WORK PROPOSED USE
Remodel Primary residence
PROJECT NAME PERMIT EXPIRES 12/06/2013
255N22ndSt- 111013 - Property Maintenance
ESTIMATED COMPLETION DATE 2012 -07 -01
DESCRIPTION OF WORK
Repair and renovation house to bring it back to living condition. Includes roofing, siding and cleanup of outside
property along with enterior remodel.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheckSUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
$200
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I N IN 1
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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 O cial, shall constitute sufficient ground for the revocation of any permit issued which was bas n the approval of this
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Applicant ate