MS-2013-00378.tif CITYOF BLAIR
ru . 218 S. 16TH STREET
BLAIR, NEBRASKA 68008
B uilding Pe rmit A pp lication (402) 426 -4191 - Phone
(402) 426 -4195 - FAX
MS -2013 -00378 lie of q� www.blairnebraska.org
09/03/2013 MISC Residential September 3, 2013
< 9/0312013 7 1 < LOCATIONOFIMPROVEMENT: 1063 N 17th Ave, Blair, NE 68008
ARCHITECT:
GENERAL SELF
OWNER: Brian K Sandall CONTRACTOR:
1063 N 17th Ave Blair NE 68008
BLAIR, NE 68008 -0000
1
NATURE OF WORK PROPOSED USE
Fence primary
i
PROJECT NAME PERMIT EXPIRES 09103/2015
1063N17thAve- 130903 -Fence ESTIMATED COMPLETION DATE 1213112013
DESCRIPTION OF WORK
6' board on board cedar fence replacing existing fence on property line
DEPOSIT PAID BY: SITE PLAN SUBMITTED: Received
Brian Sandall
REScheck/COMcheckSUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
$50
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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 accordanc wit he codes /ordinances of the City of Blair and the State of Nebraska. Any omission of or misrepresentation of
fact with w t t th intention of the undersigned or any alteration or change from this application without approval of the
Buildin Offi 'a , hall onstitute su dent ground for the revocation of any permit issued which was based on the ypproval of this
ap i ton. y
Signature f App/ nt Date r