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RN-2010-00104 (2).tif CITY OF BLAIR 218 S. 16TH STREET BLAIR, NEBRASKA 68008 Building Permit Application (402)426- 4191 - Phone (402) 426- 4195 - FAX RN -2010 -00104 Alo fi /Se os www.blairnebraska.org I 09109/2010 RES -NEW Residential September 9, \A LOCATION OF IMPROVEMENT: 9999 Prairie Grass Ln, Blair, NE 68008 \\ \ ARCHITECT: GENERAL � p " ` OWNER: Charley and Michelle Luetticke CONTRACTOR: Jim Nielsen 9 Vv y 1730 State St �y 8617 N 46th Ave Blair, NE 68008 OMAHA, NE 68152 f \ I \ \\ off\ �\\v`a� �� a... > .� ,•� �\\ � � � �\ � \ NATURE OF WORK PROPOSED USE New Construction Primary Residence PROJECT NAME PERMIT EXPIRES 09/08/2012 � Luetticke, Charley and Michelle ESTIMATED COMPLETION DATE 2012 -09 -09 DESCRIPTION OF WORK Residential new construction, 2 bedroom, 3 bath, 3 car garage, uncovered deck DEPOSIT PAID BY: SITE PLAN SUBMITTED: Received Contractor REScheck /COMcheck SUBMITTED: Received DEPOSIT STATUS: BUILDING PLANS SUBMITTED: Received N/A 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 codes /ordinances 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 appiicatio � 11A111 Date Sigriaturoof plicant