EL-2014-03193.tif i
CITYOF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
uilding Permit Application (402) 426-4191- Ph one
(402) 426 -4195 - FAX
EL- 2014 -03193 ° �h � a www.blairnebraska.org
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10/29/2014 bpeterse ELECTRIC Residential October 29, 2014
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k_ LOCATIONORMPROVEMENT: 735 N 15th St, Blair, NE 68008
ARCHITECT: GENERAL Thompson Electric
�M OWNER: Michael A Lawhon CONTRACTOR:
4520 F St
Omaha, NE 68117
OMAHA, NE 68124 -5886 Mail
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NATURE OF WORK STRUCTURE
Elect /Mech /Plumbing Primary Structure
PERMIT EXPIRES 10/28/2016
PROJECT NAME
735N15thSt- 141029 - Electrical ESTIMATED COMPLETION DATE 10/31/2014
DESCRIPTION OF WORK
Covering up exposed wires in garage and above the microwave
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheckSUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
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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 intentio of - the undersigned or any alteration or change from this application without approval of the
Building Official, shall con t't. to sufficient ground for the revocation of any permit issued which was based on the approval of this
application.,,/ N -- -�
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Date
Signature of Applicant