EL-2014-03051.tif CITY0FBLAIR
21 8 S. 16TH STREET
BLAIR, NEBRASKA 68008
(402) 426-4191 - Phone
Build.ing Permit Application
(402) 426-4195 - FAX
EL-2014-03051 ise 01 www.blairnebraska.org
1011412014 bpeterse 7EMECTRIC Residential October 14, 2014
LOCATIONOF IMPROVEMENT: 1521 Wilbur St, B air, NE 6 00
1 8 8
ARCHITECT:
GENERAL Frontier Electrical Proffessionals, Inc.
CONTRACTOR:
OWNER James W And Wf Martin
14677 Meredith Ave
1521 Wilbur St Omaha, NE 68116
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BLAIR, NE 68008-0000
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I 'S
S
NATURE OF WORK STRUCTURE
Elect/Mech/Plumbing Primary Residence
PROJECT NAME PERMIT EXPIRES 10/13/2016
1521WilburSt-141014-Electrical
ESTIMATED COMPLETION DATE 11/14/2014
DESCRIPTION OF WORK
Subpanel, 3 circuits and 2 receptacles.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
NA
REScheck/COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
N/A
12
W '
57 i
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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
f t 'th o without the intention of the undersigned or any alteration or change from this application without approval of the
Buildi r6al-,�hall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
applic 0
10/14
SiqnStur Date I