RN-2012-00211_0001 (2).tif CITY OF BLAIR
f 218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Applicati
(402)426- 4191 -Phone
1 �� (402) 426 -4195 - FAX s'
IAN -2012 -00211 ° rQM ,,� °° www.blairnebraska.org
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05/24/2012 RES -NEW Residential May 29, 2012
LOCATIONOFIMPROVEMENT: 414 Baronage Dr, Blair, NE 68008
a�} ARCHITECT:`
�r GENERAL Les Johnsen Construction LLC
OWNER: CONTRACTOR:
2353 Nebraska St Apt 6
Blair, NE 68008
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BLAIR NE 68008 -0000
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NATURE OF WORK PROPOSED USE
New Construction Primary Residence
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PROJECT NAME PERMIT EXPIRES 05/24/2014
414BaronageDr- 120524 -New Residential
ESTIMATED COMPLETION DA TE 5/24/2013
DESCRIPTION OF WORK
3 bedroom ranch, 2 baths, 2 car garage. No basement.
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DEPOSIT PAID BY: SITE PLAN SUBMITTED: Received
Contractor
REScheck /COMcheck SUBMITTED: Pending
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
g ilding Official, shall const4ute,suificient ground for the revocation of any permit issued which was based on the approval of this
plication. ure of A Date
Applicant