DM-2012-00549_0001.tif i
CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
� B uilding Permit Application (402)426- 4191 -Phone
(402) 426 -4195 - FAX
DM- 2012 -00549 a` ° M /se of ao www.blairnebraska.org
11130/2012 DEMOMOVE Residential November 30, 2012
LOCATIONOFIMPROVEMENT: 320 Sheridan St, Blair, NE 68008
ro ARCHITECT: GENERAL SELF
OWNER: Gary Lee Wachter CONTRACTOR:
320 Sheridan St Blair, NE 68008
BLAIR, NE 68008 -0000
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NATURE OF WORK PROPOSED USE
Demolition Primary Residential
PROJECT NAME PERMIT EXPIRES 05/29/2013
320SheridanSt- 121130 - Remove House and 1/31/2013
Buildings ESTIMATED COMPLETION DATE
DESCRIPTION OF WORK
Remove House and Buildings. Has a well and septic system that must be properly abandoned.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
REScheck/COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
N/A
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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
application. r 7 ( f
Date
Signature ofAp icant