Permit Application (2).TIF Nov. 9, 2012 3:25PM CITY OF BLAIR (402.426, 4191) No. 1916 P. 2
CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building permit Application (402)426 - 4181 - Phone
r ME-2012 -00520 (402) 426.4195 - FAX
au 0"� www.blairnebraska.org
11108/2012 MECHANIC Commercial November g, 2012
LOCATIONOFIMPRQV✓=MENT: 1600 Washington St, Blair, NE 60008
' ARCHITFCT
� GENEtZPd. Complete Comfort Heating &Cooling i
OVNVER: penis J And Catherine Hall CONTRACTOR: 5012 Leavenworth
11554CryerAve Omaha, NE 68106
OMAHA, NE 66144 -0000
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NATURE OF WORK
PROPOSED USE
Commercial
Misc. Permit
PERMIT EXPIRES 11/09 12014
P NAME
1GOOWashington$t- 121109 - Mechanical ESTIMATED COMPLETION DATE 11126/2012
DESCRIPTION OF WORK
2 Roof Top 7.5 ton AC units
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheckgU$MITTED: 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 Office far 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 omisslon of or misrepresentation of
he
fact with or without the intention of the undersigned or any alteration or change from this application without approval of t his
Building Official shall constitute sufficient ground for the revocation of an permit issued which was based on the app
applicatio .
Date
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