DR-2012-00332_0001.tif J CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
wilding Permit Application (402)426 -4191 -Phone
(402) 426 -4195 -FAX �
DR- 2012 -00332 X 15 p ���° www.blairnebraska.org
08/14/2012 DECKRAMP Residential August 237,20127
>y LOCATIONOFIMPROVEMENT: 809 N 13th St, Blair, NE 68008
ARCHITECT:
GENERAL Eastern Nebraska Human Services Agency
} OWNER: Eastern Nebraska Human Services Agency CONTRACTOR: 4333 S 87th St
900 S 74th Piz Ste 200 Omaha, NE 68127
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k OMAHA, NE 68114 -0000
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NATURE OF WORK PROPOSED USE
Ramp Primary Residence
PROJECT NAME PERMIT EXPIRES 08114/2014
809N13thSt- 120814 - Handicap Ramp ESTIMATED COMPLETION DATE 9/30/2012
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DESCRIPTION OF WORK
New handicap ramp to the front of the house.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: Received
Contractor
REScheck /COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: Received
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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
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-- _# c with or without the intention of the undersigned or any alteration or change from this application without approval of the
&O Official, s all c tit sufficient ground for the revocation of any permit issued which was based on the approval of this
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ignature of Applicant Date