EL-2010-00091_0001 (2).tif RUG- 31- 2010(TUE) 15.03 Thompson Electric (FRX)4028919463 P.0011001
CITY OF BLAIR
21a S. 1GTH STREET
BLAIR. NEBRASKA 68006
Building Permit Application (402)426-4191 -Phone
EL— Di —0v)sa i - � ,OV (402)4254195 -F
s er q www,blaimebrasko.org
0 8131 /2 01 0 bpeterse ELE+.IRIC Residential August 31,
LOCA110NOFIMPROVEMENT. 1340 Colfax St, Blair, NB 68005
* ARCHffECP GENERAL
■ t� 'Travis G And Jennifor M McIntosh CONTPACTIM Thompson Electric
3455 S. 08th St
1345 Grant St Omaha, ME 68138
BLAIR, NE 68008-il000
NATURE OF WORK PROPOSED USE
Misr Permit Secondary Structure
PROJECT NAME PERMIT EXPIRES 013
134OColfaxst:- 100531 -Electrical ESTIMATED COMPLETION DATE 2010 -09-02
DESCRIPTION OF WORK
200 amp service In garage, two lights, three receptacles and a weldor outlet (240 volt)
DEPOSIT PAID BY, SITE FLAN SUBMITTED: NA ,
NA RESchecklCOMcbeckSUBMITTED: NA
DEPOSIT HELD*, BUI LDING PLANS SUBMITTED N A
NIA
1. No work will be started before a permit Is ISSUED AND POSTER,
2, For commercial permits, a sat 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 permiL It is further understood that construction covered by this permit application shall not be commenced unfit 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 accordancocodeslo s of the City of Blair and the State of Nebraska_ Arty omission of or misrepresentation . of
fact with or a undersigned or any alteration or change from this application without approval of the
Building OffieJnt ground for the revocation of any permit issued which was sed on the approval of this
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