EL-2014-00042.tif CITYOF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
426 -4191 - Phone
Building Permit Application
( 402 )
a� (402) 426 - 4195 - FAX
EL -2014 -00042 ° � /se o+ Q www.blairnebraska.org
02113/2014 ShellyJ ELECTRIC Residential February 13, 2014
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LOCATIONOFIMPROVEMENT: 1432 Voss Dr, Blair, NE 68008
ARCHITECT: GENERAL Miles Electric
OWNER: Song And Yu Zhou Qian CONTRACTOR: 38898 Pinoak Rd
1432 Voss Dr Hancock, IA 51536
BLAIR, NE 68008 -0000
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NATURE OF WORK PROPOSED USE
Sub -Work New Const Primary Residence
PROJECT NAME PERMIT EXPIRES 02/13/2016
1432VossDr- 140110 - Residential Remodel
ESTIMATED COMPLETION DATE 413012014
DESCRIPTION OF WORK
Electrical for basement remodel
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
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 /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 Offi ' I, s constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
applic
Signature of Applic t Da e