EL-2013-00032.tif i
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CITYOF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Application (402) 426 -4191 -Phone
A, (402) 426 -4195 - FAX
EL -2013 -00032 ��,Se o , q www.blairnebraska.org
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02/04/2013 ELECTRIC Residential February 4, 2013
w LOCATIONOFIMPROVEMENT: 2350 Washington St, Blair, NE 68008
ARCHITECT: GENERAL Smith Electric, Inc.
OWNER: David G Freeman CONTRACTOR: 9514 Ruggles
� 2350 Washington St Omaha, NE 68134
r BLAIR, NE 68008 -0000
.,;� 7 E M 7 _,� ,,,- ...;'. _ �.; `` ,1„m,..,;.x -` ,- rru:., � � � �"��,��� r '° r ep 5 � ��������'�, �' sue; � ,� ' �`�"�, � .. .��s. ,
r'K,�,.�. ,� � a�� , . �� ,.. �. �-� ,rte .. _. a �, , ,� „ NATURE OF WORK POSED USE Elect /Mech /Plumbing rimary Structure PROJECT NAME RMIT EXPIRES
02/04/2015
235oWashingtonSt- 130204 -1 ESTIMATED COMPLETION DATE 2/15/2013
DESCRIPTION OF WORK
Replace outside service from 60 amp to 125 amp
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheckSUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
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
gpplication. -
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Date
Signature of Applicant