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CITYOF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building Permit A (402) 426 -4191 - Phone
(402) 426 -4195 - FAX
PB - 2015 - 00235 s of q ��` www.blairnebraska.org
04/0912015 POLEBARN Residential April 24, 2015
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LOCATION OF IMPROVEMENT: 10480, Blair, NE 68008
I ARCHITECT:
GENERAL SELF
OWNER: Matt Geiger CONTRACTOR:
10480 Co Rd 26 Blair, NE 68008
✓yy# Blair, NE
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NATURE OF WORK STRUCTURE
New Construction Pole Barn
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PROJECT NAME PERMIT EXPIRES 04/08/2017
1048OCo Rd 26- 150330 -2014 Storm Damage 12/9/2015
ESTIMATED COMPLETION DATE
DESCRIPTION OF WORK
Pole Barn - Will be done before house gets done.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: Received
Contractor
REScheck /COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: Received
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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
ilding Official, shall constitute sufficient ground for the revocation of any permit issued which was ed on the approval of this
Y lica tion.
re of Applic t to
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BUILDING PERMIT SUPPORTING DOCUMENTS
This building permit packet includes various items dealing with particular code
requirements and /or building permit requirements. It in no way includes ALL particular
code items. Also, it is your responsibility 'to know the 2009 International Building
Code requirements that apply to your project. Please understand this packet is only
designed and distributed to aid you in your building permit process. A copy of the
International Building Code is available for your use at the Blair Public Library.
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.
Contractor
City of Blair at
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218 South 16th Street • Blair, Nebraska 68008 < 402 -426 -4191 • Fax 402 - 426 -4195 E -mail cltyofblair @ci.blair,ne.us ��'