MS-2012-00373_0001 (2).tif 0911712012 08:38 5711712 BC COFI'STRUt_TION PAGE 04
CITY OF BLAIR
218 S. 16TH STRE"
BLAIR, NWRAW Bdi►88 j
B uilding ifi l ion (4M)426-4i81 -pt
(402)4M-419S -"X
St $t�1 2�0Q 7 � # w ww.blairnebr%sha a�g
t
09H012012 MISC Residential Septem ber 10, 2012
LOCAVONOF - 852 N I tEtr Ave, Blair, NE 59008
m
BC Construction
Met Mayon A Stodofa 5041 'Po Rd 40
- M N #0th Aye Pori Calhoun, Ni~ 6023
MAIR, NE 6W08..0000
I
L B t � rS' I
7NATU 1F WORK PROPOSED USE �
ewuy Primary t*tesidence
PROJECT DAME
PERMIT EXPIRES at�it�t2�4
952N70thAvO420910- Drhreway ESTIMATED COMPLETION DATE 701�71�01�
DESCRIPTION *OF WORK
I
Replacing driveway 10 same foawriot
DEPOSIT PAID BY,. SITE PI.,,AN. SURVIrrTED. R9aaiugd
Contractor
RgS.checkicaMaheck SIIBPA1TTM NA
DEPOSIT STATUS' - ILIM G'PtA NS'SUBMITTED: NA
1. No work will be darted before a permit is issurm AND POSTM
2. For aommorda1 prtnits, a set of plans for this pMj0d must be submitted to the Nebraska State Fire Marshal's Office fair review.
S. Separate permits are required for electrical, - plumbing, heatitag, ventilating and air r;onditioning, and 'septic cyst -
4• The undersigned owner or agent understands and acknowledges thus building permit application does not constitute W*uancc of
this building permit. It is furt ar understood that constructIM CoVeMd by toes Permit application shall not be Commenced untN a
copy of a. permit signed by the suitding Impector is issued. j
5. The undersign or agent agrees to perform the proposed worn in aacarcla"ce wit 1110 specifications set fcfM above and i
in aocorda with the ds r anew of the CRY of Blair end the State of Nebraska- Any ornissfon of of mtsrapreserttstton of
fact with r w old t anti the undersigns or .any AitenaWn or change from this aapplieatfon .without. approval Of the
Builds Q , sha sill e s clen aund for the revocation of any permit issued which was t? s on of this
tl appmv81