BPM6813~~ ~ ~%,i ~
BUILDING PERMII'APPLI
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
(402) 426-4191
CATI®N
Permit
~~~~
Application bate: ~ I " ~ `~ ~ Issue Date: ~ ~~ ~ ~~ ~ Permit Fee: $ ~ la ~ ~~
JOB ADDRESS ~ .~ ~ ,~ ~ a~
LEGAL
1 ' DESCR. LOT NO. B~• TRACT
^ SEE ATTACHEDSHEET
2. OWNER ~,~. DDRESS ZIP
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V ~~/ _~~~ j PHONE
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4. USE OF BUILDING ~~~•~
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5. Class of Work: NEW ^ ADDITION ^ALTERATION ^ REPAIR ^ MOVE ^ REMOVE
6. Describe Work: 7~z U (X~ ~ l (J c^ G? ~ `'~~~ ~ ~ (, C~~ ~' GLC?C ~
7. Sq. Footage of Structure (Inducing Basement ana Garage):
8, Change of Use From: Change of Use To:
g, Valuation of Work: $
10. Floodplain: Flooaway Yes^
Fringe Yes^ No ^ Dev. Permit
No ^ BFE Elev. Cert.
11. Current Zoning: Site Plan Attached ^ Complete Plans Attached ^
12. State Fire Marshall Required: Yes ^ No^ Approximate Completion Date ~~-~`~~~ yS
Inspections Required and Fees
13. Special Use Permit Required: Yes ^ No ^ utilities
Sewer Tap Water Tap
14. Variance Required: Yes ^ No ^ sewer water service
15. Minimum Setbacks: Front Side Rear septic Remote
16. Sidewalk Required: Yes^ No ^ Waiver Approved Building
APPLI TION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY Footings Drywall
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NOTICE Framing Final ~''~r~~
Separate permits are required for electrical, plumbing, heating, ventilating and air condi-
tioning, and septic systems. By my signature below, I acknowledge that payment of the
Electrical
building permit application fee does not constitute issuance of this building permit. I further
agree that construction covered by this permit application shall not be commenced until I
have receivedacopyofthisapplicationformsignedbytheBuildinglnspectorandstamped Rough-in Permanent Service
~APPROVED~.
hereby agree to perform the proposed work in accordance with the specifications set forth Final Tem ore Service
p ry
above and in accordance with the codes/ordinances of the City of Blair and the State of
Nebraska. I understand that this permit is void if work is not commenced within 180 days,
is not completed within 2 years of the date of issuance, or if work is aband ned for six (8)
er
hichever is ear' t Mechanical
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- Plumbing
Ground Work
SIGNATURE OF OWNER (IF OWNER BUILDER) DATE Rough-in Final
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS.YOUR PERMIT
Comment: Approved By:
G~C~
POUNDS PRTG: Blelr, NE ~ Rev. OBl&5
City of Blair
218 South 16th
Blair, Nebraska 68008
402-426-4191
Fax - 402-426-4195
~~,
Ebba O'Day
1753 Colfax St.
Blair, NE 68008
Dear Ms. O'Day,
January 24, 1996
On November 7, 1995, Getzschman Heating & A/C obtained a
permit with the City of Blair to install anew air conditioner and
furnace in your residence.
Could you please contact our office at your earliest
convenience to arrange for an inspection of this furnace and air
conditioner installation? Our office hours are 8:00 a.m. to 5:00
p.m., Monday through Friday.
Thank you in advance for your prompt attention to this matter.
Sincerely,
~~~
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Brenda Taylor
Administrative Assistant
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