PL-2014-00110_0001.tif CITYOF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
B uilding Permit Application
(402) 426 -4191 -Phone
(402) 426 -4195 - FAX
PL- 2014 -00110 ar ���se of qJ °\\ www.blairnebraska.org
03/3112014 bpeterse PLUMBING Residential March 31, 2014
i
LOCATIONOFIMPROVEMENT:
1267 Skyline Dr, Blair, NE 68008
ARCHITECT:
GENERAL CNJ Plumbing Inc
a OWNER: McCaig Construction Inc. CONTRACTOR: 1665 State St
1070 James Dr
r� Blair, NE 68008
Blair, NE 68008
MEN,- MMOMMEM
I
NATURE OF WORK PROPOSED USE
Sub -Work New Const Primary Residence
i
PROJECT NAME PERMIT EXPIRES 0313012016
1267SkylineDr- 140227 - Residential 3/31 /2016
ESTIMATED COMPLETION DATE
DESCRIPTION OF WORK
Plumbing for new home.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
NA
REScheck/COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
N/A
MM
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
Buildin cia1, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
appli tior ff'
Signature of Applic Date