MS-2014-01552.tif AUG c CITYOFBLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
1 0 (402) 426 -4191 - Phone
MS -201 4 -01 552 �o�� (402) 426 -4195 - FAX
�se of a www.blairnebraska.org
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07/22/2014 bpeterse MISC Residential August 8, 2014
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LOCATIONOFIMPROVEMENT. 2066 Front St, Blair, NE 68008
ARCHITECT.
GENERAL Acreage Fences
OWNER: Robert C And Myra M, Co- Trustees Larsen CONTRACTOR
=: 8636 Military Rd
972 N 24th Ave Omaha, NE 68134
BLAIR, NE 68008 -0000
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NA TURE OF WORK STRUCTURE
Fence Primary Residence
PROJECT NA PERMIT EXPIRES 0810712016
2066FrontSt- 140722 -Fence E STIMA TED COMPLETION DATE 8/22/2014
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DE SC R I P TION OF WORK
PVC Fence. Back side will be 6' tall two sides will be 4' tall with two gates.
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DEPOSIT PAID BY: SITE PLAN SUBMITTED: Received
Contractor
REScheck/COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
Held
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 j
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
a plic tion
Signature of Applicant Date
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FENCE PERMIT SUPPORTING DOCUMENT
This supporting document includes information dealing with particular code
requirements and /or fence permit requirements. It in no way includes ALL particular
code items. Also, it is your responsibility to know the 2006 International Building j
Code requirements that apply to your project. Please understand this document is only
designed and distributed to aid you in your fence permit process. A copy of the
International Building Code is available for your use at the Blair Public Library,
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I have read the above disclosure and accept this building permit documentation on my
own behalf assuming full responsibility as the owner /contractor for this project.
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Owner /Occupant ontractor
City of Blair Date
218 South 16th Street • Blair, Nebraska 68008 • 402 - 426 -4191 • Fax 402 - 426 -4195 E-mail cltyotblalr @ci.blalrne.us " "•'� " "