PL-2014-00045.tif CITYOFBLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
B uilding Permit Application (402) 426 -4191 - Phone
(402) 426 -4195 - FAX
PL 2014 00045 ise of Q JU\, � www.blairnebraska.org
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02/18/2014 PLUMBING Commercial F
LOCATION OF IMPROVEMENT: 575 S 1st St, Blair, NE 68008
ARCHITECT:
®'^ GENERAL CNJ Plumbing Inc
OWNER: Michael M Borer CONTRACTOR: 1665 State St
5903 N 163rd St Blair, NE 68008
OMAHA, NE 68116 -0000
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NATURE OF WORK
PROPOSED USE
Sub -Work New Const Primary Commercial- Jensen Well
PROJECT NAME PERMIT EXPIRES 02/18/2016
575S1 stSt-1 31101 -New Commercial ESTIMATED COMPLETION DATE 2/18/2016
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DESCRIPTION OF WORK
Plumbing for new commercial office. 2 single stall bathrooms
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DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
NA
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
Buil Official, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
pli tion.
- 2�v- l & - i �/
Signature of Applicant Date