MS-2012-00253_0001.tif CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
(402) 426-4191 - Phone
011 -9 Building Permit Application (402) 426-4195 - FAX
www.blairnebraska.org
MS-2012-00253 /Se ot
bpeterse MISC =Resi June 25, 2012
06/25/2012
LOCATION OFIMPROVEIVIENT: 1414 Nebraska St, Blair, NE 68008
1 ARCHITECT: GENERAL Hammerhead Construction
CONTRACTOR: 14721 Hwy 75
OV\NER: Russell L And Stacy A Nelsen
21 10502 Co Rd Blair, NE 68008
BLAIR, NE 68008-0000
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NATURE OF WORK PROPOSED USE
Siding Primary Residence
06125/2014
PROJECT NAME PERMIT EXPIRES
1414NebraskaSt-1 20625-Siding 7/31/2012
ESTIMATED COMPLETION DATE
DESCRIPTION OF WORK
Re-siding entire front side of duplex. 1414-1416 Nebraska Street
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
Held
375
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 Off ice for review.
3. Separate permits are required for electrical, plumbing, heating, ventilating and air conditioning, and septic system. nce of
4. The undersigned wne r a nt understands and acknowledges _1!)�i�building permit application does not constitute issua
? It ti y
f structi vered by this permit application shall not be commenced until a
this building permit understood that con
copy of a perrr the Building Inspectorjis_i!�i:;d � ivl
-,ift,si( ne&
I,,, % I / fin'the proposed work in accordance with the specifications set forth above and
5.The under"" ne' o n or agent agr Qrfo
p,�!f(
- the City of Blair and the State of Nebraska. Any omission of or misrepresentation of
in accdr.=an e codesL/Drdnances,,of
al of the
faqt� or i t the ion of,the undersigned or any alteration or change from this application without approv
�111 16 ,z d on the approval of this
B�6il ing Offi sha e fficient round for the revocation of any permit issued which was base
ri
appli
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Date
t of P licant