ME-2014-00149.tif Apr 1714 09;11 a D &K Heating & A/C 4028611854 p.1
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fir r, 15, 2014 12 , Pj6PM CITY 01 BLAI R (402. 420. 4191) No. 3053 '. 2
C fTYQF HLAIR
213 $.16T;Fi STREET
BLAIR, NEBRASKA 6840B
Building P Application (02) 4 -4191 - Phone
ME- 24J14 -00'f 49 �� i4 02) 426. 4195 - FAX
°ry r're o+ ° °L www.blairnebraske.org
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OVIS/2014 MECHANIC Residenkial April 15, 2014
L0CATiON0F,1MPR01l&MENT: 560 N 23rd 5t, Blair, NE 60008
f ARCa-SiTECT:
GENERAL. D & K Heating and A/C Inc. _
O"NF -P' Melvin Sudbeck Homes CONTRACTOR: 17503 Storage Rd
16255 Woodland Dr Omaha, NE 68138
Omaha, NE 68136
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NATURE OF WORK PROPOSED USE
Sub-Work Now Const Primary Residence
PROJECT NAME PERMIT EXPIRES 041102016
560N23rd8t- 140204 -New Restdentlal
ESTIMATED COMPLETION DATE 1211:512014
DESCRIPTION Ofe WORK
2 ton AX, 60,000 BTU Furnace, fans
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DEPOSIT PAID SY: SITE PLAN SUBMITTED; NA
C crntractor i
RESche- aWCOMcheckSUBMITTED- NA
t)EPtlSIT STATUS:
N/A BUILDING PLANS SUBMITTED; NA
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1. No workwili be started before a permit is ISSUED AND POSTED,
2. For commercial permfls, a set of plans for this project must be submitted to the Nebraska Slate Fire Marshals Office for review
3. Separale permits are required for electrical', plumbing, heating, ventilating and air conditioning, and septic system.
d. The undersigned owner ar 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 8041ng inspector is issued.
5. Tile undersigned owner or agent agrees to psrfQrm the proposed work In accordance with the snecifications set forth above and
in accordanca with the codes /ordlnanci* 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 a teration or change from this application witheul approval of the
luilding Official', shall constitute sufficient ground for the revocation of arty permit Issued which was based on the approval of this
applicati
Signature of Applicant 011te
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