Premier ele_0001.tif i
CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
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u i l d i Permit Applica (402) 426 -4191- Phone
A (402) 426 -4195 - FAX
EL- 2012 -00546 /se of a www.blairnebraska.org
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11/26/2012 ELECTRIC Commercial November26,2012
y d r LOCATION OF IMPROVEMENT: 1520 Nebraska St, Blair, NE 68008
ARCHITECT:
rA - GENERAL Premier Electric Inc.
® OWNER: Of Blair City CONTRACTOR: PO Box 523
218 S 16th St GRETNA, NE 68028
BLAIR, NE 68008 -0000
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NATURE OF WORK PROPOSED USE
Sub -Work New Const Depot Structure in City park
PROJECT NAME PERMIT EXPIRES 11/26/2014
1520NebraskaSt- 121025 -1
ESTIMATED COMPLETION DATE 11/26/2012
DESCRIPTION OF WORK
300 amp service, 20 circuits, 2 heaters, 20 lights, 10 outles for Blair Depot
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA E
N/A
ONE ,®
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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 Qf the undersigned or any alteration or change from this application without approval of the
Building Official, shall t sufficient ground for the revocation of any permit issued which was based on the approval of this
application.
Signature of Applic Date