MS-2012-00359_0001.jpgBuilding Permit Application
MS- 2012 -00359 A10 n /se Ot
08/3112012 bpeterse MISC
LOCATION OF IMPROVEMENT: 765 N 16th St, Blair, NE 68008
,+I '' ARCHITECT:
OWNER: Megan E Smith
l? 765 N 16th St
BLAIR, NE 68008 -0000
Residential
GENERAL SELF
CONTRACTOR:
Blair, NE 68008
NATURE OF WORK
Fence
PROJECT NAME
765N1 6thSt-1 20831 -Fence
DESCRIPTION OF WORK
PROPOSED USE
Primary Residence
PERMIT EXPIRES
CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
(402) 426 -4191 - Phone
(402) 426 -4195 - FAX
www.blairnebraska.org
August 31, 2012
08/31/2014
ESTIMATED COMPLETION DATE 10/1/2012
6- wood privacy fence on north and small section on south side.
DEPOSIT PAID BY:
Contractor
DEPOSIT STATUS:
Held
SITE PLAN SUBMITTED: Received
REScheck/COMcheckSUBMITTED: NA
BUILDING PLANS SUBMITTED: NA
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 was based on the approval of this
application.
� lop ' pol / ican 4)14 , ���j
Date Sign ature o t