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EL-2013-00491_0001.tif I CITYOF BLAIR ` 218 S. 16TH STREET BLAIR, NEBRASKA 68008 1t apt (402) 426 -4191 - Phone B uilding ermit Application a, \��.�� (402) 426 -4195 -FAX , EL- 2013 -00491 �n„ o , a� www.blairnebraska.org i 10/18/2013 bpeterse ELECTRIC Residential October 18, 2013 NWN I LOCATIONOFIMPROVEMENT: 1350 S 16th St, Blair, NE 68008 ARCHITECT: GENERAL JCM Electric, Inc OWNER: Frank W And Jacque Wilkins CONTRACTOR: 3333 S 6th St St 1350 S 16th St LINCOLN, NE 68502 BLAIR, NE 68008 -0000 g, RIN Ki NATURE OF WORK PROPOSED USE Elect /Meth /Plumbing Primary � PROJECT NAME PERMIT EXPIRES 10/18/2015 1350S16thSt- 131018 - Electrical 10/25/2013 ESTIMATED COMPLETION DATE DESCRIPTION OF WORK Electrical for kitchen remodel DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA Contractor REScheck/COM check SUBMITTED: NA DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA V� „ �`. §., �.,n,.`�,:,,,.: `,s..... ,.�':.. ...,. 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 application. Date Signature of Applicant