Application (2).tif CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
' Building Permit Application (402)426- 4191 -Phone
�a (402) 426 -4195 -FAX
PL- 2012 - 00518 °n, °1 a � www.blairnebraska.org
r11108/2012 Shelly) PLUMBING Residential November 8, 2012
ShellyJ
LOCATIONOFIMPROVEMENT: 13745 Spring Ridge LP, Blair, NE
■ ARCHITECT:
■ GENERAL CNJ Plumbing Inc
■ OWNER: Data Unavailable CONTRACTOR: 1665 State St
Blair, NE 68008
NATURE OF WORK PROPOSED USE
Sub -Work New Const Primary Residence
PROJECT NAME PERMIT EXPIRES 11/0812014
13745 Spring Ridge LP- 120918 -New
Residential ESTIMATED COMPLETION DATE 1118/2012
DESCRIPTION OF WORK
2 Finished Bathrooms. 1 RI Bath in Basement. 1 Kitchen. 1 Laundry Sink 1 Lanundry Tray 1 water heater 2 outside
spickets. 1 floor drain
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
ff ord MM 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 r without the intention of the undersigned or any alteration or change from this application without approval of the
Buil g O icial, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
licati
l
Signature of Applicant Date