EL-2013-00105_0001.tif ........... ...............................
CITY OF BLAIR
218 S. 16TH STREET
1 ~� BLAIR, NEBRASKA 68008
(402) 426 -4191 - Phone
Building Permit Application
EL -2013 -00105 (402) (402) 426 -4195 -FAX
° www.blairnebraska.org
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04/11/2013 bpeterse ELECTRIC Residential April 11, 2013
i
t° F , LOCATIONORMPROVEMENT: 2129 Grant St, Blair, NE 68008
ARCHITECT:
GENERAL Hipnar Electric
OWNER: Patti And Emery R Lounsberry CONTRACTOR: 9332 State Hwy 133
1192 S 13th Ave Blair, NE 68008
BLAIR, NE 68008 -2223
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NATURE OF WORK PROPOSED USE
Elect/Mech /Plumbing Primary Residence
PROJECT NAME PERMIT EXPIRES 04/1112015
2129GrantSt- 130411-Electrical
ESTIMATED COMPLETION DATE 4/30/2013
DESCRIPTION OF WORK
100 amp service change.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
NA
REScheck /COMcheck SUBMITTED: 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'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 /or ' ces of the City of Blair and the State of Nebraska. Any omission of or misrepresentation of
fact with or without t e rr of the undersigned or any alteration or change from this application without approval of the
Building Official a otistitute sufficient ground for the revocation of any permit issued which was based on the approval of this
applicatio
Sig ure of Applicant Date