PL-2013-00093_0001.tif I
CITYOF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
(402) 426 -4191 - Phone
B uilding Permit Application
(402) 426 -4195 -FAX
PL -2013 -00093 "Ilse of q� www.blairnebraska.org
04/02/2013 bpeterse PLUMBING Residential April 2, 2013
LOCATIONOFIMPROVEMENT: 11198 Rambleridge Dr, Blair, NE 68008
ARCHITECT: GENERAL Jimmy's Plumbing, Inc.
OWNER: Home Building Consultants Inc CONTRACTOR: 17609 Storage Rd
15610 120th St Omaha, NE 68136
�;- LOUISVILLE, NE 68037 -0000
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NATURE OF WORK PROPOSED USE
Sub -Work New Const Primary Residence
I
PROJECT NAME PERMIT EXPIRES 04/0212015
11198RambleridgeDr- 121211 -New ESTIMATED COMPLETION DATE 4/212015
Residential
DESCRIPTION OF WORK
Plumbing for new home.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
NA
REScheck/COMcheckSUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
N/A
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
"_appi'rcat
Date
Signature of A cant