PL-2013-00345.tif CITYOF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Bu ild ing Pe rmit App (402) 426 -4191 - Phone
v �a° (402) 426 -4195 - FAX
PL -2013- 00345 ise . o t °° www.blairnebraska.org
I IMMU 1
08/22/2013 bpeterse PLUMBING Commercial August 22, 2013
LOCATIONOFIMPROVEMENT: 1650 Washington St, Blair, NE 68008
ARCHITECT:
{ GENERAL Jetter's Plumbing, Inc.
OWNER Ronald K And Rachel A Truhlsen CONTRACTOR: 230 W Count y Rd 'T'
29 9687 Co Rd Fremont, NE 68025
BLAIR, NE 68008 -6448
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NATURE OF WORK PROPOSED USE
Elect /Mach /Plumbing Primary Commercial
PROJECT NAME PERMIT EXPIRES 08/22/2015
1650WashingtonSt- 130822 - Plumbing ESTIMATED COMPLETION DATE 9/1/2013
DESCRIPTION OF WORK
Sewer gas repair for downtown smoke test.
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
application. f'
Signatu er of Ap iicant Date