EL-2014-03194.tif i
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CITYOF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
uilding Permit Application (402) 426 -4191 - Phone
(402) 426 -4195 - FAX
EL - 2014 - 03194 �'�n,� o� a� ° www.blairnebraska.org
10/2912014 ELECTRIC Residential October 29, 2014
LOCATIONOFIMPROVEMENT: 200 Hollostone Dr, Blair, NE 68008
ARCHITECT: GENERAL Thompson Electric
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OWNER: Waylon James &Wright CONTRACT E
4520 F St
�� Omaha, NE 68117
200 Hollostone Dr
BLAIR, NE 68008 -0000
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NATURE OF WORK STRUCTURE
Elect /Mech /Plumbing
Primary Structure
PERMIT EXPIRES 10/28/2016
PROJECT NAME
200HollostoneDr- 141029- Electrical ESTIMATED COMPLETION DATE 1013112014
DESCRIPTION OF WORK
Raising mast due to construction of soffit
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DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheck SUBMITTED: 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 intention ndersigned or any alteration or change from this application without approval of the
Building Official, shall cons' ufficienf ground for the revocation of any permit issued which was based on the approval of this
application.
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Date
Signatu „ of Applicant