MS-2012-00287_0001.tif CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Application (402)426- 4191 -Phone
(402) 426 -4195 - FAX
MS -2012-00287 1 0 ise os ao www.blairnebraska.org
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07/23/2012 bpeterse MISC Residential July 23, 2012
LOCATIONOFIMPROVEMENT: 1652 Nebraska St, Blair, NE 68008
ARCHITECT.
= GENERAL SELF
OWNER: Linda A Fitch CONTRACTOR:
1652 Nebraska St Blair, NE 68008
BLAIR, NE 68008 -0000
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NATURE OF WORK PROPOSED USE
Fence Primary Residence
PROJECT NAME PERMIT EXPIRES 07123/2014
1652NebraskaSt- 120723 -Fence
ESTIMATED COMPLETION DATE 10/1/2012
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DESCRIPTION OF WORK
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4' chain link fence for west side of property.
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DEPOSIT PAID BY: SITE PLAN SUBMITTED: Received
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Contractor
REScheck/COMcheckSUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
$50
1. No work will be started before a permit is ISSUED AND POSTED.
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2. For commercial permits, for this must be submitted to the Nebraska State Fire Marshal's Office for review.
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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
BSt(Iding Official, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
f application:
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Date
ignature of Applicant
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