PL-2010-00029.tif CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Application (402)426- 4191 -Phone
9_ti (402) 426 -4195 - FAX
PL- 2010 -00029 h of www.blairnebraska.org
0810612010 bpeterse PLUMBING Residential August 6, 2010
LOCATIONORMPROVEMENT: 1529 Butler St, Blair, NE 68008
of ARCHITECT:
GENERAL
CONTRACTOR: Henton Trenching, Inc.
OWNER: Andrew D And Andrea A Niemann Sweeney 13092 U. S. Hwy. 30
1529 Butler St Blair, NE 68008
s BLAIR, NE 68008 -0000
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NATURE OF WORK PROPOSED USE
Misc. Permit Primary Residence
PROJECT NAME PERMIT EXPIRES 02102/2011
1529ButlerSt- 100806 - Plumbing ESTIMATED COMPLETION DATE 2010 -08 -06
DESCRIPTION OF WORK
New Sewer
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DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor REScheck/COMcheckSUBMITTED: NA
DEPOSIT HELD: 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 ndersig wn or ent agrees to perform the proposed work in accordance with the specifications set forth above and
in a c rda wit t cod s/ rdina o f the City of Blair and the State of Nebraska. Any omission of or misrepresentation of
fact w th h i enti n of the undersigned or any alteration or change from this application without approval of the
On Bui di i ial sh I o ufficient ground for the revocation of any permit issued which was based on the approval of this
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P ignature of Applicant Date