PL-2010-00072_0001.tif i
CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
B uilding Permit Application (402)426- 4191 - Phone 426-4195 - FAX
PL 2010 - 00072 b ' °Mrs of ao� ° ( www ) www.blairnebraska.org
08124/2010 PLUMBING Residential August 24,
LOCATIONOFIMPROVEMENT: 12310 Ann Dr, Blair, NE 68008
ARCHITECT:
GENERAL
CONTRACTOR: Paul the Plumber
OWNER: Shelly Flohr 9378 "N" St
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12310 Ann Dr OMAHA, NE 68127
l Blair, NE 68008
IN
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NATURE OF WORK PROPOSED USE
Misc. Permit Primary Residence
PROJECT NAME PERMIT EXPIRES 02/20/2011
13471
ESTIMATED COMPLETION DATE 2010 -08 -24
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DESCRIPTION OF WORK
Shower Replacement
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DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
NA REScheck /COMcheckSUBMITTED: NA
DEPOSIT HELD: BUILDING PLANS SUBMITTED: NA
N/A
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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 yyie codes /ordinances of the City of Blair and the State of Nebraska. Any omission of or misrepresentation of
fact with or w✓itho t the intention of the undersigned or any alteration or change from this application without approval of the
Buildin 'Offipai, s I consfe sufficient ground for the revocation of any permit issued which was based on the approval of this
appilcdtion".
mature of Applicant
Date
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