MS-2012-00381_0001.tif CITY OF BLAIR
216 S. 16TH STREET
BLAIR, NEBRASKA 68008
building Permit Application - Phone
�r , -`��' (402) 426 -4195 - FAX
MS - 2012 - 00381 °"s pf www.blairnebraska.org
09/1212012 MISC Residential September 12, 2012
LOCATIONOFIMPROVEMENT: 1245 Voss Dr, Blair, NE 68008
ARCHITECT: GENERAL Cascio Fence 1 Pacific Fence
OW CONTRACTOR:
OWNER: Kevin M And Deette R Pendland 8009 S 25th St
PO Box 21 BELLEVUE, NE 68147
MONDAMIN, IA 51557 -0021
Li
NATURE OF WORK PROPOSED USE
Fence Primary Residence
PROJECT NAME
PERMIT EXPIRES 09/12/2014
1245Voss 120912 -Fence ESTIMATED COMPLETION DANE 9/3012012
DESCRIPTION OF !/YORK
6° wood privacy fence to enclose backyard.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: Received
Contractor
REScheck /COMcheck SUBMITTED: NA
I
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
$50
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 Pffici.01, , shall constitute efficient °groUhd for the revocation of any permit issued which was based on the approval of this
( pp ica ion
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Date
Signati of Applicant