MS-2015-00206.tif i
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CITYOFBLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Application (402) 426 -4191 -Phone
q� s� <��� �< �� (402) 426 -4195 - FAX
MS - 2015 - 00206 ° m/se of ago www.blairnebraska.org
03/31/2015 7SC Residential March 31, 2015
r LOCATION OF IMPROVEMENT: 736 N 13th St, Blair, NE 68008
ARCHITECT:
r� GENERAL American Fence Company
OWNER: Shannon Leslie Devivo CONTRACTOR:
15225 Industrial Rd
� 736 N 13th St Omaha, NE 68144
BLAIR, NE 68008 -0000
M OONRISE
NATURE OF WORK STRUCTURE
Fence Primary Residence
PROJECT NAME PERMIT EXPIRES 03/30/2017
736N13thSt- 150331 -Fence ESTIMATED COMPLETION DATE 5/1/2015
DESCRIPTION OF WORK
4' chain link to enclose backyard.
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DEPOSIT PAID BY: SITE PLAN SUBMITTED: Received
Homeowner
REScheck /COMcheck SUBMITTED: 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 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
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nature of Applicant ate
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CITY !, NEBRASKA
Phone 402 -426 -4191
RECEIVED OR
ADDRESS
CITY, STATE, ZIP CODE
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THANK YOU KEEPTHIS COPY FORYOUR RECORDS.
NO
RECEIVED BY
Pounds Printing, Blair, NE 68008
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FENCE PERMIT SUPPORTING DOCUMENTS
This supporting document includes information dealing with particular zoning
requirements and /or fence permit requirements. It in no way includes ALL particular
zoning items. Also, it is your responsibility to know the City of Blair Zoning Ordinance
Section 1102 requirements that apply to fences, walls and hedges. Please understand
this document is only designed and distributed to aid in your fence permit process. A
copy of the City of Blair Zoning Ordinance is available for your use at the Blair Public
Library or on our website at www.blairnebraska.org
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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.
Oner ccupant Contractor
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5 of Blair to
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218 South 16th Street • Blair, Nebraska 68008 • 402 -426 -4191 • Fax 402 -426 -4195 E -mail clfVofblair @cl,blalr,ne,us ooPaa.,r.