EL-2014-00221_0001.tif i
CITYOF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
(402) 426 -4191 - Phone
Building Permit Application
(402) 426 -4195 -FAX
EL- 2014 -00221 Ato mise of ado\` www.blairnebraska.org
05112/2014 bpeterse ELECTRIC Residential May 12, 2014
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LOCATIONOFIMPROVEMENT: 1917 Butler St, Blair, NE 68008
ARCHITECT:
GENERAL Jim Judt, Handyman Services
0 OWNER: Paul A And Denise R Kult CONTRACTOR: 2884 College Dr
` - 1917 Butler Ave Blair, NE 68008
BLAIR, NE 68008 -0000
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NATURE OF WORK PROPOSED USE
Sub -Work New Const Primary Residential
PROJECT NAME PERMIT EXPIRES 0511112016
1917ButlerSt- 140415 - Kitchen Addition 5/12/2016
ESTIMATED COMPLETION DATE
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DESCRIPTION OF WORK
200 amp service only.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
NA
REScheck/COMcheckSUBMITTED: NA
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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
p� g g Y p — approval of this
Building Official, shall constitute sufficient round for the revocation of an permit issued which was based on the
a icatjon. i
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Date
Sig9atur of Appli6n
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