PL-2011-00069_0001.tif CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Application (402)426 -4191 -Phone
(402) 426 -4195 - FAX
PL- 2011 -00069 lO MIse 01 Q www.blairnebraska.org
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03117/2011 777 PLUMBING Residential March 17, 2011
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LOCATIONOFIMPROVEMENT: 13342 State Hwy 91, Blair, NE 68008
D ARCHITECT:
E) , GENERAL CNJ Plumbing Inc
® OWNER: Lynn O'Hanlon CONTRACTOR: 1665 State St
Hwy 91 Blair, NE 68008
Blair, NE
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NATURE OF WORK PROPOSED USE
Sub -Work New Const Primary Residence
PROJECT NAME PERMIT EXPIRES 03116/2013
13342StateHwy 91- 101104 -New Residential ESTIMATED COMPLETION DATE 2011 -05 -31
DESCRIPTION OF WORK
Plumbing for 5 bathroom ranch with partial finished basement
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: ' NA
v.
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
Lp Off icial, shall co stitute sufficient ground for the revocation of any permit issued which was based on the approv of this
ion.
Signature of Applicant Date
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