MS-2012-484_0001.tif i
CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Application (402)426- 4191 -Phone
(402) 426 -4195 - FAX
MS- 2012 -00484 ise of www.blairnebraska.org
10/2312012 MISC Residential October 23, 2012
LOCATION OF IMPROVEMENT: 582 S 16th St, Blair, NE 68008
F ARCHITECT: GENERAL SELF
OWNER: CONTRACTOR:
582 S 16th St Blair, NE 68008
BLAIR, NE 68008 -0000
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NATURE OF WORK PROPOSED USE
Fence Fence
PROJECT NAME PERMIT EXPIRES 1012312014
5825 16thSt- 121023 -Fence
ESTIMATED COMPLETION DATE 11130/2012
DESCRIPTION OF WORK
Three sections of 4' high fence. 6 ft on north property line between garage and shed, gate between house and garage,
and 18 ft between house and existing fence on south property line.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: Received
Contractor
REScheck/COMcheckSUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
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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 on the approval of this
pplica ion.
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Date
Signature of plicant