PL-2013-00052_0001-1.tif i
CITYOFBLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
B uilding Permit Application (402) 426 -4191 -Phone
(402) 426 -4195 -FAX �
PL -2013 -00052 �'�n, 01 a� www.blairnebraska.org
i
02/25/2013 bpeterse PLUMBING Residential February 25, 2013
LOCATIONOFIMPROVEMENT: 1911 Grant St, Blair, NE 68008
ARCHITECT: GENERAL Mr. Rooter Plumbing
g OWNER: Katie B Petersen CONTRACTOR: 3605 S 149th St
2344 Hickory Cir Omaha, NE 68144
BLAIR, NE 68008 -3680
r _i r ` x `' -."�; %� ✓ `•
mo 01
Ap R L
I R 1 V rw .:._. ,,.....,
NATURE OF WORK PROPOSED USE
Elect /Mech /Plumbing Primary Residence
PROJECT NAME PERMIT EXPIRES 02/2512015
1911 GrantSt-1 30225-Plumbing ESTIMATED COMPLETION DATE 2/2612013
I
DESCRIPTION OF WORK
New sewer service.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
NA
REScheck/COMcheckSUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
N/A
OR s
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 codesfordinances 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 constitut 'sufficient ground for the revocation of any permit issued which was based on the approval of this
application.
Date
Signature of Applicant