PL-2014-00170.tif i
CITYOFBLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Application (402) 426 -4191 - Phone �
PL-2014-00170 b� � (402) 426 -4195 - FAX
° `n 5e of Q www.blairnebraska.org
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04122/2014 PLUMBING Residential April 22, 2014
g -gU LOCATIONOFIMPROVEMENT: 10535 Co Rd P29 Blair, NE 68008
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ARCHITECT:
GENERAL CNJ Plumbing Inc �
OWNER: Darrell D And Nancy M Brown CONTRACTOR: 1665 State St
3125 State Henry 91 Blair, NE 68008 j
BLAIR NE 68008 -0000
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NATURE OF WORK PROPOSED USE
Sub -Work New Const
Primary Residence
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PROJECT NAME PERMIT EXPIRES 04/21/2016
10535Co Rd P29- 140220 -New Residential
ESTIMATED COMPLETION DATE 4/22/2016
DESCRIPTION OF WORK
New 2 bedroom 2 bath ranch with 2 car garage, unfinished basement with rough in bath.
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DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
NA
REScheck /COMcheckSUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
N/A
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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 fficial, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
appl' do .
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i ature of Applicant a ate