PL-2013-00285.tif i
CITYOF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
�. EN --��� Building Permit Application
(402) 426 -4191 -Phone
(402) 426 -4195 - FAX
PL- 2013 -00285 a ° www.blairnebraska.org
07/2512013 bpeterse PLUMBING Commercial July 25, 2013
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LOCATIONOFIMPROVEMENT: 524S 10th St, Blair, NE 68008
ARCHITECT:
GENERAL Express Plumbing
OWNER: Christopher C Jensen CONTRACTOR: 17410 Storage Rd
716 N 11th St Omaha, NE 68136
BLAIR, NE 68008 -0000
NATURE OF WORK PROPOSED USE
Sub -Work New Const Primary Commercial
PROJECT NAME PERMIT EXPIRES 07/2512015
524S1othSt- 111230 -New Commercial ESTIMATED COMPLETION DATE 7/2512015
DESCRIPTION OF WORK �
Storage Building will will have electric. no hvac or plumbing.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
NA
REScheck/COMcheckSUBMITTED: 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 /ordinances of the City of Blair and the State of Nebraska. Any omission of or misrepresentation of
fae w or without the intention of the undersigned or any alteration or change from this application without approval of the
'' Building Official, shall c stitute sufficient ground for the revocation of any permit issued which was based on the approval of this
applica on.
Date
Sig ture of Applicant