RN-2012-00036_0001 (2).tif H CITY OF BLAIR
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218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Application (402 ) 426 - 4191 -Phone
q a° (402) 426 -4195 -FAX
RN- 2012 -00036 1 0 111
>rse of qv www.blairnebraska.org
02/29/2012 RES -NEW Residential March 2, 2012
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LOCATIONOFIMPROVEMENT: 2336 Fieldcrest Dr, Blair, NE 68008
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ARCHITECT: GENERAL McCaig Construction Inc.
OWNER: Jcm Investments Inc CONTRACTOR: 1070 James Dr
�< 7110 Morgan Cir Blair, NE 68008
9 t" OMAHA, NE 68152 -0000
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NATURE OF WORD( PROPOSED USE
New Construction Primary Residence
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PROJECT NAME
PERMIT EXPIRES 02/28/2014
2336FieldcrestDr- 120228 -New Residential
ESTIMATED COMPLETI DATE 2012 -06 -15
DESCRIPTION OF WORD(
3 bedroom 2 bath with 2 car garage and unfinished basement.
DEPOSIT PAID BY. SITE PLAN SUBMITTED. Received
Contractor
REScheck /COMcheck SUBMITTED: Received
DEPOSIT STATUS. BUILDING PLANS SUBMITTED. Received
$500
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
implication.
Si ' a of Applicant Da