Application_0001.tif CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Application (402)426- 4191 -Phone
(402) 426 -4195 - FAX
ME - 2012 - 00510 0'��se of www.blairnebraska.org
1110712012 pcgreen MECHANIC Commercial November7,2012
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� LOCATIONOFIMPROVEMENT: 9330 Hwy 133, Blair, NE 68008
ARCHITECT: GENERAL -- Mainelli Mechanical Contractors, Inc. -
��; OWNER: Mutual Of Omaha Insurance Co CONTRACTOR: 8701 N 29th St
Mutual Of Omaha Plz Omaha, NE 68112
y OMAHA, NE 68175 -0000
.
NATURE OF WORK PROPOSED USE
Elect /Mech /Plumbing Mechanical
PROJECT NAME
PERMIT EXPIRES 11/07/2014
9330Hwy 133 - 120912 - Commercial Remodel ESTIMATED COMPLETION DATE 11/9/2012
DESCRIPTION OF WORK
Gas line to exterior HVAC unit
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck /COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
N/A
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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.
A
Date
Signature of Applicant