RN-2012-00393_0001 (2).tif CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
BUIlC�III P @1"1111t/�1 lICatl011 (402)426- 4191 -Phone
g Ap (402) 426 -4195 - FAX
RN- 2012 -00393 s 01
ms or a www.blairnebraska.org
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09/18/2012 RES -NEW Residential September 21, 2012
LOCATIONOFIMPROVEMENT: 13745 Spring Ridge LP, Blair, NE
ARCHITECT:
GENERAL J Nielsen Construction LLC
a�, OWNER: Data Unavailable CONTRACTOR: 1730 State St
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BLAIR, NE 68008 -1568
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NATURE OF WORK PROPOSED USE j
New Construction Primary Residence
PROJECT NAME PERMIT EXPIRES 09/18/2014
9999- 2Spring Ridge LP- 120918 -New
Residential ESTIMATED COMPLETION DATE 4/1/2013
DESCRIPTION OF WORK
3 bedroom Ranch 2 bath 3 car garage unfinished basement with a roughin bath
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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, sha I constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
application,
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Signature ofAq icant Date
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