ME-2010-00233.tif CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
;ME:_ �L Building Per mit Application (402)426 -4191 -Phone
b ���(402) 426 -4195 - FAX
0 -00233 '�m46 of q ��` www.blairnebraska.org
0 MECHANIC Residential November 12, 2010
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LOCATIONOFIMPROVEMENT: 9999 Prairie Grass Ln, Blair, NE 68008 j
ARCHITECT:
® GENERAL. Frazier Co.
d OWNER: Leo Charles Luetticke CONTRACTOR: 14830 B Cir
8517 N 46th Ave Omaha, NE 68144
OMAHA, NE 68152 -0000
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NATURE OF WORK PROPOSED USE
Sub -Work New Const Primary Residence j
PROJECT NAME PERMIT EXPIRES 05/11/2011
Luetticke, Charley and Michelle
ESTIMATED COMPLETION DATE 2010 -11 -12
DESCRIPTION OF WORK
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Geothermal Electric Unit, Duct work, 3 bath vents and one dryer vent.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
NA
REScheck /COMcheckSUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
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 hout the ' on of the undersigned or any alteration or change from this application without approval of the
Building 0 ic' 1, shall c nstitut sufficient ground for the revocation of any permit issued which was based on the approval of this
licat
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ge Applicant Date
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