PL-2014-00109_0001.tif CITYOFBLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
(402) 426-4191 - Phone
Building Permit Application
(402) 426-4195 - FAX
PL-2014-00109 www.blairnebraska.org
11 min In,
moommosommm MEMNON=
03/3112014 bpeterse PLUMBING Residential March 31, 2014
LOCATION OFIMPROVEMENT: 2221 Birch Cir, Blair, NE 68008
ARCHITECT:
GENERAL CNJ Plumbing Inc
OV\NER: Julie A Baxter CONTRACTOR: 1665 State St
2221 Birch Cir Blair, NE 68008
BLAIR, NE 68008-0000
RE =M5
NATURE OF WORK PROPOSED USE
Elect/Mech/Piumbing Primary Residence
PROJECT NAME PERMIT EXPIRES 03/3012016
2221 B irchCir-1 40327 -Electrical ESTIMATED COMPLETION DATE 513112014
DESCRIPTION OF WORK
Plumbing for bathroom.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
NA
REScheck/COM check SUBMITTED: 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. e of
4. The undersigned owner or agent understands and acknowledges this building permit application does not constitute issuanc
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
te sufficient ground for the revocation of any permit issued which was based on the approval of this
Date
Signature of Applicant