MS-2015-00538.tif I
CITYOF BLAIR
r. 218 S. 16TH STREET
BLAIR, NEBRASKA 68008
11 I r I liti (402) 426 -4191 -Phone
MS -201 5 -00538 ` (402) 426 -4195 - FAX
Ise of a www.blairnebraska.org
06129/2015 brwheele MISC Residential June 29, 2015
i
LOCATION OF IMPROVEMENT: 2344 Hickory Cir, Blair, NE 68008
ARCHITECT:
GENERAL S & W Fence Inc.
® OWNER: Alex Jay And Stacy Lynn Benner CONTRACTOR:
15803 Pacific St
2344 Hickory Cir Omaha, NE 68118
BLAIR, NE 68008 -0000
a
NATURE OF WORK STRUCTURE
Fence Primary
PROJECT NAME PERMIT EXPIRES 06/28/2017
2344H ickoryCi r- 150629 -Fence
ESTIMATED COMPLETION DATE 8/30/2015
DESCRIPTION OF WORK
4' fence in back of house.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: Received
Contractor
REScheck/COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
$50
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
application.
c
Date
Signature of plicant
k
CITY Of 5LAIQ
FENCE PERMIT SUPPORTING U T
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 110 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
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.
Owner /Oc nt Contractor
City of Blair Date
eoou xooaua
218 South 16th Street • Blair, Nebraska 68008 • 402 - 426 -4191 • Fax 402 -426 -4195 • E -mail cityofblalr @ci,blair.ne.us OPPORTUNITY