ME-2010-00066_0001.tif .i2R;r^ C.TY F A::i i4"12, 426, 4 9?
CITY OF BLAIR
218 9, 16TH STREET
GLAIR, NEBRASKA 69008
Building Permit Application (402)426.4191 -Phone
�4, b ' (402) 426 -4185 - FAX
ME- 2010 -00066 °n,1�o 01 a4 °��
www.glairnebraska.org
Ot3/23/2 mo MECHANIC Residential August 23,
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AVIV
LOCATION OF IMPROVEMENT. 1557 Butler St, Blair, NE 68008
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ARCHITECT:
GENERAL
OMER Constance J Sheets ( CONTRACTOR: Baker Heating and Cooling Inc.
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77018 162nd Ave
1557 M utt e r St i Omaha, NE 88136
f BLAIR, NE 68008 -0000
a a e
NATURE OF WORK PROPOSED USE
Misc, Permit Primary Residence
PROJECT NAME PERMIT EXPIRES 0211812011
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155713utler8t•100823- Machanfcai
ESTIMATED COMPLETION DATE 2010 -08 -2
DESCRIPTION OF WORK
Furnace, Heat Pump and A -Coil, BTU 70,000, Tons 2 heat purnp
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DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
NA
REScheck /COMcheck SU1MITTED: NA
DEPOSIT HELD: BUILDING FLANS SUBMITTED; NA
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N/A
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1. No work will be started before a permit is ISSUED AND POSTED.
2. For commercial permits, s set of plans for this project must be submitted to the Nebraska Slate; 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 perrtilt application does not constitite issuance of
this building permit. It is further understood that construction covered by this permit application shall not be comrnencec until a
copy of a permit signed by the Building Inspector is issued.
6. The undersigned owner or agent agrees to perform the proposed work in secorcance with the specifications set forth above and
In accordance with the codeslordinances of the City of Blair and the State of Nebt Any omtgsion of or misrepresentation of
fact with or without the intention of the undersigned or any alleraticn or change from this application without approval of tie'
t _ Building Official, shall constitute sufficient ground for the revocation of any permit issued which was basod on the approval of this
pplication.
Signature of Applicant Gatti
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