EL-2012-00485_0001.tif CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
(402) 426 -4191- Phone
Building Permit Application (402) 426-4195-FAX
9p www.blairnebraska.org
EL- 2012 -00485 ° Mrse o; Q°
10/23/2012
ELECTRIC Residential October 23, 2012
LOCATIONOFIMPROVEMENT: 208 Arthur St, Blair, NE 68008
ARCHITECT: GENERAL Hiller Electric Co.
OWNER: Diane F And Roland L Foster CONTRACTOR: 5404 Dayton St
4620 Avenue E Omaha, NE 68117
KEARNEY, NE 68847 -0000
M a
NATURE OF WORK PROPOSED USE
Primary Residence
Sub -Work New Const
PERMIT EXPIRES 10/23/2014
PROJECT NAME
208ArthurSt- 120925 -New Residential ESTIMATED COMPLETION DATE 10/23/2014
DESCRIPTION OF WORK
Temporary Service
I
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
REScheck/COMcheckSUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
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 O 'cial, shaliGonstitute sufficient ground for the revocation of any permit issued which was based on the approval of this
ap icati
/D 0
Date
S nature f Applicant