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CITYOF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
,!i`'a�! ,,, B uilding P erm it il �IC��1 ® (402) 426 -4191 - Phone
(402) 426 -4195 - FAX
Dell- 2015 - 00486 �'o�se 01 ��p`� www.blairnebraska.org j
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06/12/2015 bpeterse DEMOMOVE Residential June 12, 2015
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/ LOCATIONOFIMPROVEMENT. 1105 Lincoln St, Blair, NE 68008
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ARCHITECT:
GENERAL Shepard Enterprises
OWNER: Daina Wendt CONTRACTOR:
2138 Park St
16 13103 Co Rd Blair, NE 68008
BLAIR, NE 68008 -0000
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NATURE OF WORK STRUCTURE
Demolition Primary Residence
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PROJECT NAME
PERMIT EXPIRES 12/09/2015
1105LincoinSt- 150612 - Demolition 6/20/2015
ESTIMATED COMPLETION DATE
DESCRIPTION OF WORK
Demoing one residential structure on the property. No lateral sewer line.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
NA
REScheck /COMcheckSUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
N/A
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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. j
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.
Date
Signature of Applicant