ME-2010-00032_0001.tif I
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CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
� .. B uilding Permit A pplication (402)426- 4191 -Phone
(402)426- 4195 -FAX
ME -2010 -00032 1040 �Ise of aJO�� www.blairnebraska.org
08/1012010 bpeterse MECHANIC Residential August 10,
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LOCATIONOFIMPROVEMENT: 1094 S 13th Ave, Blair, NE 68008
ARCHITECT: GENERAL
OWNER: CONTRACTOR: American Htg & Air
240 Colfax St
Blair, NE 68008
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NATURE OF WORK PROPOSED USE
Misc. Permit Primary Residence
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PROJECT NAME PERMIT EXPIRES 0210612011
1094S13thAve- 100810- Mechanical
ESTIMATED COMPLETION DATE 2010 -08 -10
DESCRIPTION OF WORK
A/C Replacement 2 tons
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DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
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Contractor REScheck/COMcheck SUBMITTED: NA
DEPOSIT HELD: BUILDING PLANS SUBMITTED: NA
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 j
a placation.
Signature of Applicant Date
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