PL-2014-00091.tif CITYOFBLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Application
(402) 426 -4191 -Phone
A,., (402) 426 -4195 - FAX
PL- 2014 -00091 ��,se o , a�° www.blairnebraska.org
03120/2014 PLUMBING Residential March 20, 2014 j
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LOCATION OF IMPROVEMENT: 2182 Clark St, Blair, NE
r % ARCHITECT: GENERAL CNJ Plumbing Inc
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OWNER: Merle R And Lori L Mallette Hansen Hanse CONTRACTOR: 1665 State St
2254 Hollow Rd Blair, NE 68008
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BLAIR, NE 68008 -0000
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1 111 " MEN — 17- LOU
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NATURE OF WORK PROPOSED USE
Sub -Work New Const Primary Residence- Duplex/Condo
PROJECT NAME PERMIT EXPIRES 03119/2016
2182CIarkSt- 130802 -New Residential
ESTIMATED COMPLETION DATE 3/20/2016
DESCRIPTION OF WORK
Plumbing and groundwork for new home.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
NA
REScheck /COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
N/A
M E ON ,.y ' /"irk / .. / r' r !/ / ..%oe"
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 o without the intention of the undersigned or any alteration or change from this application without approval of the
Buildin ff' ial, shall nstitute sufficient ground for the revocation of any permit issued which was based on the approval of this
ap 4' atio
nature of Appli nt ate