ME-2014-00239.tif CITYOFBLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
` `" j'� •� Building Permit Application (402) 426 -4191 -Phone
(402) 426 -4195 - FAX �
ME 2014 -00239 10 (402)
o, q� www.blairnebraska.org
05/20/2014 bpeterse MECHANIC Commercial May 20, 2014
LOCATIONOFIMPROVEMENT: 210 Sheridan St, Blair, NE 68008
ARCHITECT:
GENERAL MMC Mechanical Contractors Inc.
; OWNER: A and S Services, Inc CONTRACTOR: 9751 S 142nd St
" 911 Hwy 10 W Omaha, NE 68138
ORANGE CITY, IA 51041 -0000
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NATURE OF WORK PROPOSED USE
Sub -Work New Const Primary Commecial
PROJECT NAME PERMIT EXPIRES 05/19/2016
210SheridanSt- 130509 -New Commercial ESTIMATED COMPLETION DATE 5/20/2016
DESCRIPTION OF WORK
Mechanical for new building 4 ton A/C and 110,000 BTU furnace
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 Official, shall constytute sufficient ground for the revocation of any permit issued which was based on the approval of this
cation. / J
2 /
S ignature of Applicant Date
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