EL-2012-00489_0001.tif CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
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Building Permit Application (402)426 - 4191 - Phone jfl
9 ��a (402) 426- 4195 - FAX
EL 2012 - 00489 a '�n, ;SQ of a � ° www.blairnebraska.org
1 10/25120 Commercial November 5, 2012
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LOCATIONOFIMPROVEMENT: 1623 Washington St, Blair, NE 68008
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ARCHITECT: GENERAL Jim Judt, Handyman Services
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OWNER: Gamut Investment Group 11 LLC CONTRACTOR: 2884 College Dr
17011 Cedar Plaza Ste 813 Blair, NE 68008
Omaha, NE 68130
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NATURE OF WORK PROPOSED USE
Misc. Permit Smoke alarms
PROJECT NAME PERMIT EXPIRES 04/2412013
1623Washingtonst- 121025 -Smoke Alarms ESTIMATED COMPLETION DATE
11130/2012
DESCRIPTION OF WORK
Smoke alarms for upstairs apartment.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: Pending
Contractor
REScheck/COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: Pending
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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
application.
Signature of Wplicant l' Date