MS-2012-00237_0001.tif CITY OF BLAIR
218 S. 16TH STREET
a� BLAIR, NEBRASKA 68008
(402) 426- 4191 - Phone
Building Permit Application
MS - 2012 - 00237 (402)426- 4195 -FAX
,o; ���'° www.blairnebraska.org
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MISC
—7 Residential June 12, 2012
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06/1212012
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LOCATIONOFIMPROVEMENT: 449 S 22nd St, Blair, NE 68008
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az �; ARCHITECT: GENERAL FIS C ontracting
r CONTRACTOR: 324 S 13th St
OWNER: Carol Ihrke
Tekamah, NE 68061
449 S 22nd St
BLAIR, NE 68008 -0000
777 7777777
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_7 77777777777
PROPOSED USE
NATURE OF WORK
PRimary Residence
Siding
PERMIT EXPIRES 06/12/2014
PROJECT NAME
449S22ndSt- 120612- Siding ESTIMATED COMPLETION DATE 7131/2012
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DESCRIPTION OF WORK
New vinyl siding and windows for house.
DEPOSIT PAID BY:
SITE PLAN SUBMITTED: NA
Contractor
RESchecklCOMcheckSUBMlTTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
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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
change from this application without approval of the
ct with or without the intention of the undersigned or any alteration or
nd for the revocation of any permit issued which was based on the approval of this
B ilding Official, shall constitute sufficient grou
a pli tion.
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Date
f gnatur pplicant