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j 08/18/2010 04:38 4027274855 PAGE 01 ? r!, 8 Al R, (4 (' 4 2 6, 4 9 11 4 a. ` i _.) CITY OF BLAIR i A q4?z# 218 S.' 16THSTIMET i BLAIR, N90AA$KA 60000 Building P ermi t Appli cation (402)428-4191 - Phone j (407) 420.41$0 - F AX P L- 201tl- (]0043 n„ a n' www,blalrnabrA$ka,arg Q8t43t2tlip `?potersa _ f!LI UM �t6aidaritl6il August 17, LCCAIWINOJ NPh'QVeIVIENT: i I ST &t, Blair, NE 680 I MCNITFQT: GEtVt:RAt I #' e 1tJ David Neer C0'Vrf3AACT,)R: Plumbing Works, Inc. X7068 Nebraska St 5037 Co 37 Rd Ponlanel!e, WE 68044 elpir, NE 0800e i NATURE OF WORK PROPOSED USE Primary Residence i INtsc, Permit j PROJECT NAME PERMIT EXPIRES 02/13/2011 67a816th5t 1t109t12- Elaetricat j ESTIMATED COMPLETI OA'TE 2010 "08 "31 ! I i DESCRIPTION OF WORK { plurobing for a view waahing machine ! I DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA :;entrxpt�r RESchocklCOMchfick SUBMITTED: NA jl DEPOSIT HELD: BUILDING PLANS SUOMiTTED: NA ! i I,uA i I 1 No work Will re started br3fore a pernil is ISSUED AND P08TED 2. ror comnierciai permit, :i set of plans for this project roust be subrnitfed to the Nebraska State Fire Marsha!'s UffIcs for review. 3, Separate parmite arts required for elootriul, plt mbina, heating, ventilating erd air cor0ionling, and sapfic system 4. This 4n0orsirned o w ner nr agent und9ratands and acknowledgss this building permlt application doer; not oonsittute issuance of this bUpding permit it is further understood that construction covered by this parrrl'st application shall not be Commenced unllli a copy of a permit s ign e d by the Building Inspector is issued. 5 The undersigned owner or agent agrees to perform the proposed work A accordance with the specifications set forth above and in a0cortence with the ©odes/ormnan;es of the City of 81air and the Stato of Nebraska. Any omission ct or misrepresentation of fact with or without tl)e Intention of the undersigned or any alteration or change from this application wll taut approval of the f3wWng Cfffoi$t, shah constitute sufficient ground 'or the rsvooi;tion of ary permit Issued wh!ch was based on the approval of this oppticetion. ' i� „gpt 4f App$r4a'7t