DR-2012-00188_0001 (2).tif CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Application (402)426 -4191 -Phone
,��af (402) 426 -4195 - FAX
)R -2012 -00188 '��, o � ��� www.blairnebraska.org
)5/16/2012 �K�Mp Residential May 16, 2012 7
7
LOCATION OF IMPROVEMENT: 1202 South St, Blair, NE 68008 ARCHITECT -GENERAL SELF
OWNER: Arnold D And Eleanor E Hill CONTRACTOR:
1202 South St Blair, NE 68008
BLAIR, NE 68008 -0000
r
y
NATURE OF WORK PROPOSED USE
Deck Primary Residence
PROJECT NAME PERMIT EXPIRES 05/16/2014
1202SouthSt- 120516 -Deck 8/1/2012
ESTIMATED COMPLETION DATE ,
DESCRIPTION OF WORK
Repairing and rebuilding the deck. Not extending it at all.
I
DEPOSIT PAID BY: SITE PLAN SUBMITTED: Received
Contractor
REScheck /COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: Received
i
i
I
��> ,..,�'.'�'ti�..,,.,��„ Y, ✓�„� ��, .. ' ...: ,„. � � i ��G 5�,�� I � ,ar r� °:a� � fit` ���'1 � � ,E -
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 w7bad n t he approval of this
a licat,on.
;ignature of Applicant Date