ME-2014-01570.tif i
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CITYOF BLAIR
" 218 S. 16TH STREET
BLAIR, NEBRASKA 68008
F ER Building Permit Application (402) 42s -4191 -Phone
(402) 426 -4195 - FAX
ME- 2014 -01570 se of Q, www.blairnebraska.org
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07/2312014 kathyl MECHANIC Residential July 23, 2014
12 LOCATIONOFIMPROVEMENT: 207 S 16th St Blair, NE 68008
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4 ARCHITECT:
GENERAL Everly Plumbing and Heating Inc.
OWNER: Troy D And Korene B Mccandless CONTRACTOR: 2505E 23rd Ave S
Fremont, NE 68025
207 S 16th St
BLAIR, NE 68008 -0000
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NATURE OF WORK STRUCTURE
Elect /Meth /Plumbing RESIDENTIAL
PROJECT NAME PERMIT EXPIRES 07/2212016
207S16thst- 140723 -1 ESTIMATED COMPLETION DATE 7/2412014
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DESCRIPTION OF WORK
MECHANICAL PERMIT PART BECAUSE OF STORM REPLACE 100 BTU FURNACE AND 4 TON AC (AC WAS STORM
REPAIR)
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheck SUBMITTED: 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 r without t e int tion of the undersigned or any alteration or change from this application without approval of the
Buildin ic I z con itute sufficient ground for the revocation of any permit issued which was based on the approval of this
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Date
Signature of Applicant
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