RN-2012-00352_0001 (2).tif CITY OF BLAIR
218 S. 16TH STREET
w BLAIR, NEBRASKA 68008
tailding Permit Application (402)426 - 4191 -Phone
�ar� (402) 426 -4195 - FAX
RN- 2012 -00352 �M q, 0
08/27/2012 RES -NEW Residential August 31, 2012
LOCATIONORMPROVEMENT: 1909 Soren Dr, Blair, NE 68008
ARCHITECT: GENERAL ProLlne Homes
OWNER: Jcm Investments Inc CONTRACTOR: PO Box 390427 i
„a 7110 Morgan Cir OMAHA, NE 68139
OMAHA, NE 68152 -0000
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NATURE OF WORK PROPOSED USE
New Construction Primary Residence
PROJECT NAME PERMIT EXPIRES 08/27/2014
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1909SorenDr- 120827 -New Residential
ESTIMATED COMPLETION DATE 3/31/2013 �
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DESCRIPTION OF WORK
4 bedroom 2 story with 3 baths, unfinished basement with 314 rough in in basement. 3 car garage.
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DEPOSIT PAID BY: SITE PLAN SUBMITTED: Received
Contractor
REScheck /COMcheck SUBMITTED: 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
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