PL-2014-00214_0001.tif CITYOFBLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Application (402) 426 -4191 - Phone
PL - 2014 -00214 (402) 426 -4195 - FAX
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a � e ns e Of a ° www.blairnebraska.org
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05/06/2014 bpeterse PLUMBING Commercial May 6, 2014
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d LOCATIONOFIMPROVEMENT: 800 Jackson St Blair NE 68008
ARCHITECT:
GENERAL CNJ Plumbing Inc
. OWNER: Of Blair City CONTRACTOR: 1665 State St
218 S 16th St
Blair, NE 68008
BLAIR, NE 68008 -0000
NATURE OF WORK PROPOSED USE
Sub -Work New Const Soccer Building
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PROJECT NAME PERMIT EXPIRES 05/05/2016
800JacksonSt- 130923 - Soccer Building �
ESTIMATED COMPLETION DATE 5/6/2016
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DESCRIPTION OF WORK
Plumbing for Soccer Building.
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
appli io .
ti y
g ure of Applicant Date