PL-2010-00111_0001.tif CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Application (402)426 - 4191 -Phone
El
m (402) 426 -4195 - FAX
PL- 2010 -00111 �n; of a www.blairnebraska.org
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09114/2010 bpeterse PLUMBING Residential September 14,
\ LOCATIONOFIMPROVEMENT: 847 N 14th Ave, Blair, NE 68008
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ARCHITECT: GENERAL
OWNER: Travis T Svendgard
CONTRACTOR: Henton Trenching, Inc.
s 13092 U. S. Hwy. 30
�\ 847 N 14th Ave Blair, NE 68008
\ BLAIR, NE 68008 -0000
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NATURE OF WORK PROPOSED USE
Misc. Permit Primary Residence
PROJECT NAME PERMIT EXPIRES 03/13/2011
847N14thAve- 100914 - Plumbing
ESTIMATED COMPLETION DATE 2010 -09 -15
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DESCRIPTION OF WORK
New Sewer Line
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DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck /COMcheck SUBMITTED: NA
DEPOSIT STATUS:
BUILDING PLANS SUBMITTED: NA I
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 own r or agent agrees to perform the proposed work in accordance with the specifications set forth above and
in accordance wit t codes /ordinances of the City of Blair and the State of Nebraska. Any omission of or misrepresentation of
fact yvlh witho e intention of the undersigned or any alteration or change from this application without approval of the
uil in is suffi cient ground for the revocation of any permit issued which was based on the approval of this
p is i n
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�gnit of Applican Date