DM-2013-00100.tif — 1
CITYOFBLAIR
218 S. 16TH STREET
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BLAIR, NEBRASKA 68008
BUIlC�ItI Permit Q lICatl011 (402)426 -4191 -Phone
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DM- 2013 -00100 Ar�hise o 0'' www.blairnebraska.org
04/08/2013 bpeterse DEMOMOVE Residential April 11, 2013
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LOCATIONOF IMPROVEMENT. 1322 Lincoln St, Blair, NE 68008
ARCHITECT: t
GENERAL Henton Trenching, Inc.
OWNER: David L And Carol A Webster CONTRACTOR: 13092 U. S. Hwy. 30
2013 Jackson St Blair, NE 68008
BLAIR, NE 68008 -0000
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NATURE OF WORK PROPOSED USE
Demolition Primary Residence
PROJECT NAME PERMIT EXPIRES 04/11/2015
1322LincolnSt- 130408 -Demo ESTIMATED COMPLETION DATE 4115/2013
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DESCRIPTION OF WORK
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House demolition
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck /COMcheck SUBMITTED: 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 th the codes /ordinances of the City of Blair and the State of Nebraska. Any omission of or misrepresentation of
fact with or it out the intention Df-#he undersigned or any alteration or change from this application without approval of the
Bu' din s itute sufficient ground for the revocation of any permit issued which was based on the approval of this
ap icat n.
Date
Si nature of Applicant