MS-2015-00525_0001.tif CITYOF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
1l Irl Pe rmit App lication (402) 426 -4191 -Phone
q� \\� (402) 426 -4195 - FAX
MS -2015 -00525 ��nrs os ate www.blairnebraska.org
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06/24/2015 MISC Residential June 24, 2015
LOCATIONOFIMPROVEMENT: 1333 South St, Blair, NE 68008
'= ARCHITECT: GENERAL Acreage Fences
OWNER: Patrick And Lana Thompson CONTRACTOR:
8635 Military Rd
1333 South St Omaha, NE 68134
BLAIR, NE 68008 -0000 j
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NATURE OF WORK STRUCTURE
Fence Primary Residence
PR OJ E CT NAME PERMIT EXPIRES 0612312017
1333Southst- 150624 -Fence ESTIMATED COMPLETION DATE 7124/2015
DESCRIPTION OF WORK
90' section of 6' white PVC fence. Will be on property line on west side. See plot.
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DEPOSIT PAID BY: SITE PLAN SUBMITTED: Received
Contractor
REScheck/COMcheckSUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
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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
application.
Mgnature of Applicant Date