PL-2014-02079.tif i
CITYOF GLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
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402 426 -4191 - Phone
Building Permit Application
( )
(402) 426 -4195 - FAX
PL- 2014 - 02079 °Ise °, a �° www.blairnebraska.org
08/1112014 bpeterse PLUMBING Residential August 12, 2014
LOCATION OF IMPROVEMENT: 7521 N Terrace Trl, Blair, NE 68008
ARCHITECT:
GENERAL CNJ Plumbing Inc
OWNER: Gary W And Karen K Bates CONTRACTOR:
' 1665 State St
-t 18020 Thayer St Blair, NE 68008
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BENNINGTON, NE 68007 -0000
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NATURE OF WORK STRUCTURE
Sub -Work New Const Primary Residence
PROJECT NAME PERMIT EXPIRES 0811112016
7521NTerraceTrl- 140425 -New Residential
ESTIMATED COMPLETION DATE 8/11/2016
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DESCRIPTION OF WORK
Plumbing for new house.
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DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheckSUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
P ry,. Wr`r
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
Buil n9yOfficial, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
a plic7tion.
CL�c -/ 2 -� K
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Signature of App ' ant .- -" Date