AC-2011-00543_0001.tif CITY OF BLAIR
218 S. 16TH STREET
j BLAIR, NEBRASKA 68008
Building Permit Application
402)426- 4191 -Phone
(402) 426- 4195 - FAX
AC- 2011 -00543 "gym se U a a www.blairnebraska.org
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12/07/2011 ACCESS Residential December 12, 2011
LOCATIONOFIMPROVEMENT: 14512 Cord P16, Blair, NE 68008
l ' ARCHITECT:
GENERAL Morton Buildings, Inc.
}, OWNER: Tamara L And Joseph W Fryman CONTRACTOR: PO Box 177
14512 County Rd P16 Onawa, IA 51040
BLAIR, NE 68008 -0000
IA
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NATURE OF WORK PROPOSED USE
Remodel Accessory Building
PROJECT NAME PERMIT EXPIRES 12/06/2013
14512CoRd P16- 111207 - Remodel ESTIMATED COMPLETION DATE 2012 -03 -01
DESCRIPTION OF WORK
Repairing trusses and supports for accessory building that was damaged by hail this last summer.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck /COMcheck SUBMITTED: Pending
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 application without approval of the
Building Official, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
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Date
Signature of Applicant