EL-2014-00223_0001.tif CITYOF BLAIR
a 218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Application (402) 426 -4191 - Phone
EL- 2014 - 0022.3 .o,.o� od�`,� (402) 426 -4195 -FAX
us of a www.blairnebraska.org
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05/13/2014 =ELECTRIC MMMMMM esidential May 13, 2014
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LOCATIONOFIMPROVEMENT: 1279 S 13th Ave, Blair, NE 68008
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-� ARCHITECT: GENERAL T & H Electric LLC
OWNER: Les Johnsen Construction, Inc CONTRACTOR: 410 S Thomas Ave
2353 Nebraska St Apt 6 OAKLAND NE 68045
BLAIR, NE 68008 -1467
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NATURE OF WORK PROPOSED USE
New Construction Residential Structure
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PROJECT NAME PERMIT EXPIRES 0511212016
1279S1 3thAve-1 40513-New Residential 5/23/2014
ESTIMATED COMPLETION DATE
DESCRIPTION OF WORK
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DEPOSIT PAID BY: SITE PLAN SUBMITTED: Received
Contractor
REScheck/COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: Received
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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 constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
applic tion.
Signature of Applicant Date