RN-2012-00041_0001 (2).tif i
CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
B Permit Application ( Phone
402) 4195 -FAX
RN -2012 -00041 ise ot a �° www.blairnebraska.org
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03/05/2012 RES -NEW Residential March 9, 2012
LOCATION �. 2287 Fieldcrest Dr Blair NE 68008
ARCHITECT: GENERAL Diamond Homes LLC
OWNER: Jcm Investments Inc CONTRACTOR: 12367 Merriam Dr
7110 Morgan Cir BLAIR, NE 68008 -0000
OMAHA, NE 68152 -0000
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NATURE OF WORK PROPOSED USE
New Construction Primary Residence
PROJECT NAME PERMIT EXPIRES 03/0512014
2287FieldcrestDr- 120305 -New Residential ESTIMATED COMPLETION DATE 2012 -08 -01
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DESCRIPTION OF WORK
3 bedroom, 2 bath with 2 car garage. Unfinished basement, not a walkout basement.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: Received
Contractor
REScheck/COMcheckSUBMITTED: Received
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: Received
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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
p ica
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Si re of Applicant