PL-2010-00021_0001.tif i
CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Application ( 402 ) 426- 4191 - Phone
M vx A (402) 426 -4195 - FAX
PL - 2010 -00021 10 /Se of qo www.blairnebraska.org
08/04/2010 bpeterse PLUMBING Residential August 13,
LOCATIONOFIMPROVEMENT: 2053 Davis Dr, Blair, NE 68008
ARCHITECT: GENERAL
OWNER: Peter J Kaiser CONTRACTOR: Alex Legge Plumbing, Inc.
2053 Davis Dr Fremont, NE 68026
BLAIR, NE 68008 -0000
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NATURE OF WORK PROPOSED USE
Misc. Permit Primary Residence
PROJECT NAME PERMIT EXPIRES 0210912011
13392 ESTIMATED COMPLETION DATE 2010 -08 -04
DESCRIPTION OF WORK
Plumbing for Washing Machine
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor REScheck /COMcheck SUBMITTED: 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 undersigned owner or agent agrees to perform the proposed work in accordance with the specifications set forth above and
in accordance with the codesfordinances 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.
1gnatureofApplicant
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