DR-2012-00356_0001 (2).tif CITY OF BLAIR
:< 218 S. 16TH STREET
BLAIR NEBRASKA 68008
Building Permit Application (402)426- 4191 -Phone
(402) 426- 4195 - FAX
DR- 2012 -00356
www.blairnebraska.org
08/30/2012 DECKRAMP Residential August 31, 2012
<' LOCATIONOFIMPROVEMENT: 1109 N 18th Ave, Blair, NE 68008
ARCHITECT:
GENERAL J.G. Construction
€: OWNER: David H And Anita K Sites CONTRACTOR: 5357 N 152nd St
1109 N 18th Ave
OMAHA, NE 68116
BLAIR, NE 68008 -0000
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NATURE OF WORK PROPOSED USE
Deck Primary Residence
PROJECT NAME PERMIT EXPIRES 08/30/2014
1109N7 8thAve- 120830 -Deck
ESTIMATED COMPLETION DATE 10/1/2012
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DESCRIPTION OF WORK
Wood deck onto the back 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
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 o the approval of this
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Si na rfre of Applicant tae
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