DR-2012-00392_0001 (2).tif CITY OF BLAIR
1 218 S. 16TH STREET
BLAIR, NEBRASKA 68008
UIlC�Itlg Permit Application
(402)426- 4191 -Phone
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(402) 426 -4195 - FAX
DR- 2012 - 00392 `�` is o� a� `may www.blairnebraska.org
09/18/2012 DECKRAMP Residential September 18, 2012
LOCATIONOFIMPROVEMENT: 2059 Soren Dr, Blair, NE 68008
ARCHITECT:
15, GENERAL Paul D. Anderson Construction
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,�,c OWNER: Bruce E And Cynthia K Kempcke CONTRACTOR: 206 Lords Ct
2059 Soren Dr Blair, NE 68008
BLAIR, NE 68008 -3685
NATURE OF WORK PROPOSED USE
Deck Primary Residence
PROJECT NAME PERMIT EXPIRES 09/18/2014
2059Soren Dr- 120918 -Deck
ESTIMATED COMPLETION DATE 10/3112012
DESCRIPTION OF WORK
32x12 Deck on back of house partially covered
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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 w b sed on the approval of this
4 pplica '
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nature f Applicant
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