EL -2013-00119.tif CITYOF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
(402) 426 -4191 - Phone
B uilding Permit lica�ti ®n
�� (402) 426 -4195 - FAX
EL 2013 - 00119 r CmIs e 01 Q 5 \1 www.blairnebraska.org
SEEM
04/22/2013 pcgreen ELECTRIC Residential April 24, 2013
LOCATIONOFIMPROVEMENT: 9080 Co Rd P33, Blair, NE 68008
ARCHITECT:
GENERAL Wolfe Electric
�> 0 OWNER:
Dennis A And Karen L Bidne CONTRACTOR: 5711 S. 60th 210
2114 S 123rd Ave Omaha, NE 68117
y
OMAHA, NE 68144 -0000
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NATURE OF WORK PROPOSED USE
Sub -Work New Const Primary Residence
PROJECT NAME
PERMIT EXPIRES 04/24/2015
9080CoRdP33- 130404 -New Residential ESTIMATED COMPLETION DATE 4/2212015
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DESCRIPTION OF WORK
Electric for new house and temp service.
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DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
NA
REScheck/COMcheck SUBMITTED: 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 Hermits, 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 'cial, shall constit fficient ground for the revocation of any permit issued which was based on the approval of this
applic ion.
Signature of Applicant Date
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