DR-2012-00491_0001.tif i
CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Application (402)426 - 4191 - Phone
(402) 426 -4195 - FAX
DR- 2012 -00491 s °i a www.blairnebraska.org
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10/26/2012
DECKRAMP Residential October 26, 2012
LOCATIONOFIMPROVEMENT: 2600 Sunrise Dr, Blair, NE 68008
ARCHITECT:
GENERAL Hoffschneider Construction Co.
OWNER: Charles D And Maxine L Kelly CONTRACTOR: PO Box 587
2600 Sunrise Dr Blair, NE 68008
BLAIR, NE 68008 -0000
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NATURE OF WORK PROPOSED USE
Addition Primary Structure
PROJECT NAME PERMIT EXPIRES 10/26/2014
2600SunriseDr- 121026 -Deck
ESTIMATED COMPLETION DATE 11/30/2012 j
DESCRIPTION OF WORK
Replacement deck, 4' x 11', along north side of house
DEPOSIT PAID BY: SITE PLAN SUBMITTED: Received
Contractor7lqs �
�` REScheck/COMcheckSUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: Received
$50
M ®`
11 011 MW
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 Offici I, shal constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
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Signature of Applicant
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