MS-2013-00185.tif CITYOF BLAIR
f My A 218 S. 16TH STREET
BLAIR, NEBRASKA 68008
wilding Permit pplicati ® n (402) 426 -4191 -Phone
sr � (402) 426 -4195 - FAX
MS -2013 -001 jse Q ��" www.blairnebraska.org
06/03/2013
7 bpeterse MISC 7 Residential June 3, 2013
r LOCATIONOFIMPROVEMENT; 1192 S 13th Ave, Blair, NE 68008
ARCHITECT:
iry }w GENERAL Acreage Fences
OWNER: Patti And Emery R Lounsberry CONTRACTOR: 8635 Military Rd
' 1192 S 13th Ave
Omaha, NE 68134
sf BLAIR, NE 68008 -2223
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NATURE OF WORK PROPOSED USE
Fence Primary Residence
PR OJECT NAME PERMIT EXPIRES 06/03/2015
1192S13thAve- 130603 -Fence ESTIMATED COMPLETION DATE 7/31/2013
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DESCRIPTION OF WORK
4° almond color pvc picket fence with 3 gates. To fence in backyard and will be inside the retaining walls on all three
sides.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: Received
Contractor
REScheck /COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
Held
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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
ap "cation.
Date
Signature of Applicant
CITY OF 9 NEBRASKA
Phone 402 -426 -4191
RECEIVED OF:
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ADDRESS
CITY, STATE, ZIP CODE
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j THANK YOU KEEP THIS COPY FOR YOUR RECORDS.
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I RECEIVED BY
Pounds Printing, Blair, NE 68008.
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8635 Military Rd. - Omaha, NE 68134
Phone: (402) 571 -0511 • Fax: (402) 571 -5226
wvvw.ACreageFences.com
AF @acreagefences.com
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