EL-2012-00448_0001.tif i
CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
uilding Permit Application (402 ) 426 - 4191 -Phone
(402) 426 -4195 - FAX
EL 2012 - 00448 ' °n,;s °t a'° www.blairnebraska.org
10/10/2012 kbedmins ELECTRIC Residential October 10, 2012
LOCATIONOFIMPROVEMENT: 3040 College Dr, Blair, NE 68008
ARCHITECT:
D GENERAL Hipnar Electric
a OWNER: Barbara L Hunt CONTRACTOR: 9332 State Hwy 133
3040 College Dr Blair, NE 68008
BLAIR, NE 68008 -0000
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NATURE OF WORK PROPOSED USE
Misc. Permit Primary Residental
PROJECT NAME PERMIT EXPIRES 10/10/2014
egeDr- 121010 - Reconnect A/C &
Furnace ESTIMATED COMPLETION DATE 1011012012
Furnace
DESCRIPTION OF WORK
Reconnected the A/C and Furnace new water heater
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheckSUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
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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 -t orm the proposed work in accordance with the specifications set forth above and
in accordance with the codes /orcTinancos of the City of Blair and the State of Nebraska. Any omission of or misrepresentation of
fact with or without the "intent o of the undersigned or any alteration or change from this application without approval of the
Building Official, s(i li�ute sufficient ground for the revocation of any permit issued which was based on the approval of this
application. ,.F ._- --- ---
Date
Signature of Applicant