PL-2014-00084.tif CITYOFBLAIR
` 218 S. 16TH STREET
BLAIR, NEBRASKA 68008
B uilding Permi t Application (402) 426 -4191 - Phone
(402) 426 -4195 - FAX
PL-2014-00084 arO M;s e of (V
03/17/2014 PLUMBING Residential March 17, 2014
LOCATION OF IMPROVEMENT: 13522 Spring Ridge Loop, Blair, NE
✓` ARCHITECT:
GENERAL CNJ Plumbing Inc
1 OWNER: Ben & Marcie Ellenberger CONTRACTOR: 1665 State St
13522 S rin ride L
p g g p Blair, NE 68008
Blair, NE 68008
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NATURE OF WORK PROPOSED USE
Sub -Work New Const
Primary Residence
PROJECT NAME PERMIT EXPIRES 03/16/2016
13522Spring Ridge Loop- 131025 -New
Residential ESTIMATED COMPLETION DATE 3/17/2016
DESCRIPTION OF WORK
Plumbing and Groundwork for new house.
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DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck /COMcheck SUBMITTED: NA
DEPOSIT STATUS:
BUILDING PLANS SUBMITTED: NA
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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 Off ial, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
applicate
ignature of Applicant to