2210 signature pg_0001.tif CI7Y OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Application (402)426- 4191-Phone
M S -2012 -00519 R4�Q Jo`�. (402) 426 -4195 - FAX
lo ot a www.blaimebraska.org
11/08/2012 M1SC Residential November8, 2012
LOCATIONOFIMPROVEMENT: 2210 Birch Cir, Blair, NE 68008
nCT GENERAL Acreage Fences
OWNER: Mccaig Construction, Inc CONTRACTIM 8635 Military Rd
1070 James Dr Omaha, NE 68134
BLAIR, NE 68008 -0000
NATURE OF WORK PROPOSED USE
Fence Fence
PROJECT NAME PERMIT EXPIRES 11108/2014
2210BfrchCir- 120712 -New Residential ESTIMATED COMPLETION DATE 11/30/2012
DESCRIPTION OF WORK
Fence, 230 ft of 4 R picket PVC almond color with 2 gates
DEPOSIT PAID BY: SITE PLAN SUBMITTED: Received
Contractor
REScheckfCOMcheckSUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
$50
I
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 codeslordinances 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 al, shall constitute sufficient ground for the revocation of any permit issued which was based on the pprovai of this
tap lica on. �
Signature of Applicant Date