PB-2012-00366_0001.tif ' CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 66006
Building Permit Application (402)426- 4191 -Phone
PI3 -2 ®12 -00366 �r� = �� (402)426 -4195 -FAX
rot$ or www.blairnebraska.org
09/07/2012 POLEBARN Residential September 12, 2012
<.' LOCATIONOFIMPROVEMENT: 13625 Springridge Lp, Blair, NE 68006
ARCHITECT:
ac } GENERAL Scott Erectors
OWNER: Data Unavailable CONTRACTOR:
2165 Park St
Blair, NE 68008
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NATURE OF WORK PROPOSED USE
New Construction Accessory Building
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PROJECT NAME PERMIT EXPIRES 09107/2014
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13625Springridge Lp- 120319 -New j
Residential ESTIMATED COMPLETION DATE 10/7/2012 �
DESCRIPTION OF WORK �
Pole barn for storage. No electric.
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DEPOSIT PAID BY: SITE PLAN SUBMITTED: Received
Contractor
REScheck /COMcheck SUBMITTED: NA
DEPOSIT STATUS. BUILDING PLANS SUBMITTED: Received
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
a`pplica Joh t
Date
Silnatu4ofApplicant