MS-2014-03201.tif CITYOF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
(402) 426 -4191 - Phone
B uilding Permit Application
9 ��a (402) 426 -4195 - FAX
MS -2014 -03201 °°„ °, q ° www.blairnebraska.org
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10130/2014 bpeterse MISC Residential October 30, 2014
laffl a, LOCATIONOFIMPROVEMENT: 1454 South St, Blair, NE 68008
`I ARCHITECT:
GENERAL American Fence Company
OWNER: Eugene C And Nancy E, Trustees Lindblad CONTRACTOR:
15225 Industrial Rd
1454 South St Omaha, NE 68144
„5rf. BLAIR, NE 68008 -0000
NATURE OF WORK STRUCTURE
Fence Primary Structure
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PROJECT NAME PERMIT EXPIRES 10/29/2016
1454SouthSt- 141030 -2014 Storm Damage 12/30/2014
ESTIMATED COMPLETION DATE
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DESCRIPTION OF WORK
Replacing fence from storm damage - 70' of 6' picket and 30' of 4' picket
DEPOSIT PAID BY: SITE PLAN SUBMITTED: Received
Eugene Lindblad
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 ns 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
Date
Signature of Applicant
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Permits Page 1 of 9
WASHINGTON COUNTY BUILDING PERMIT APPLICATION
1555 Colfax Street, Blair, NE 68008
Office: (402) 426 -6872 Fax: (402) 426 -6843
ireiannim�� (u�s�rashin�oricoian�iie.or�
TYPE: BUILDING ELECTRICAL MECHANICAL n PLUMBING ROOFING - SEPTIC
(SPECIFY) l" fi /y C 2-
NAME (Owner) y 9 :*Ay E a /Q T 6 `N t 8 4 14- 0 / T (? q,97 a T
ADDRESS / 5 q 1, � J T l� /�_ 6 36S " a a
GENERAL CONTRACTOR &I 04M 1 4 A A9 Fili /y G A—Z C1!
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CONTRACTOR ADDRESS T G .f r fj r P f, R 6 'A e, . ®J7K X-g 61t-
PHONE # YO Z-'A9 C7' 6 7 ; }- CELL 4 V 6 EMAIL . Q Q' a4-- Ca
ELECTRICAL CONTRACTOR X PHONE #
MECHANICAL CONTRACTOR G" PHONE #
PLUMBING CONTRACTOR PHONE #
ROOFING CONTRACTOR P PHONE #
SEPTIC CONTRACTOR _ /Y PHONE #
COMPLETE LEGAL DESCRIPTION OF THE PROPERTY
BG La-r8 pr or- VAC -s i jif c ?
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AREA OF THE PROPERTY IN ACRES OR SQUARE FEET
DIMENSIONS OF PROPERTY
CONSTRUCTION SITE ADDRESS
TYPE OF BUILDING/PROJECT PROPOSED
DIMENSIONS OF BUILDING/PROJECT
DISTANCE BUILDING WILL BE FROM:
FRONT PROPERTY LINE OR EDGE OF PUBLIC RIGHT OF WAY
SIDE PROPERTY LINE SIDE PROPERTY LINE
REAR PROPERTY LINE
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http:// www. washcoplanning .org/new _page_4.htm 10/18/2014
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AmEmcANFENCE COMPANY
w III
15225 Industrial Road, Omaha NE 68144 402-896-6722 Fax; 402 -896 -0692 Email res.sales@americafence.com
Date !t`5 ^ r 1 Phone Cell Phone Specifications for Fence - Railing
Customer UCaEd �, ;�%0 ��17 Work Phone
Style Drawing Style Drawing
Project Location f lIZ��' ?.¢ #
Bitting Address ,+cam AFC Job #
City lIZ State Zip Email Ove Length Ov `ral Height
Special Notes :..��
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� O N 4 1
❑ Comer Lot ❑ French Gothic
b ( ❑ Repair ❑ Over Scallop
°� ❑ Custom Wood ❑ Under Scallop -
❑ Custom Metal
Gate Info
#1 Opening ❑ SS ❑ DD
# 2 Opening ❑ SS ❑ DD
# 3 Opening ❑ SS ❑ DD
N1� .
#4 Opening ❑ SS ❑ DD
Fence
Railing $
Pernut
Descri fion of Fence-Raiji Fence-Railing Project Tear Out $
d _ �/� 14
V �/" !VY'�IG.) ,�I ` -
(� j' and Digs $ f
Ah 404 8 ' 7 4 I&h ' /X S1 X,6 ` x k
o7, Q 9 tional items below
�; vs� s.�i Survey $
Sprinkler Ins _
This Quote is Good for Days.
On the back of this proposal are very important terms and conditions that we are requesting that you review. Upon Dirt Removal S s�ryw
Your review, if you have any questions, please contact us. After review and agreement, - please sign below indicating
that you have fully read, understood and agree with the terms an d conditions stated above and on the back of this Total $
proposal_
AFC Representative _ Date
Date --� /'q� I
.Type j
Customer Signature Date Amount $
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