ME-2010-00240.tif CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
lllal>�1 Permit lICt1011 (402)426 -4191 -Phone
(402)426 - 4195 -FAX
?.i2 ° firse o1 �� www.blairnebraska.org
11109/2010 MECNRESI Residential November 9, 2010
"F LOCATIONOFIMPROVEMENT: 1314 S 16th St, Blair, NE 68008
ARCHITECT:
I GENERAL A 1 United Heating & Air Conditioning
OVWER: Kenneth W Vopnford CONTRACTOR: 4972 F St
'tt r 1314 So 16th St Omaha, NE 68117
BLAIR, NE 68008 -0000
I
NATURE OF WORK PROPOSED USE
Misc. Permit Primary Structure
PROJECT NAME PERMIT EXPIRES 05 108/2011
1314S16thSt- 101109 -1-Furnace Replacement ESTIMATED COMPLETION DATE 2010 -11 -22
DESCRIPTION OF WORK
Replacement of furnace and install zone control system 60,000 BTU replacement
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck /COMcheckSUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
N/A
} I ;
t r
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 j
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
appli ion.
Signature of Applicant P Date,'
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