PL-2014-02295.tif i
CITYOF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Application (402) 426 -4191 -Phone
� (402) 426 -4195 - FAX
PL - 2014 -02295 h 01 a www.blairnebraska.org
08/19/2014 brwheele PLUMBING Residential August 19, 2014
LOCATIONOFIMPROVEMENT: Blair, NE 68008
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ARCHITECT:
GENERAL CNJ Plumbing Inc
OWNER: Joseph W And Tamara, Co- Trustees Fryman CONTRACTOR:
1665 State St
14512 Co Rd P16 Blair, NE 68008
BLAIR, NE 68008 -0000
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NATURE OF WORK STRUCTURE
Sub -Work New Const Primary Residence
PERMIT EXPIRES 0811812016
PROJECT NAME
1460OCo Rd P16- 140602 -New Residential ESTIMATED COMPLETION DATE 8/19/2016
DESCRIPTION OF WORK
Plumbing for new house.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
NA
REScheck/COMcheckSUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
N/A
ME Kr,
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
Buildina Dffi ial, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
appli ion.
I
Date
Signature of Applicant