ME-2014-03269_0001.tif i
CITYOF BLAIR
218 S. 16TH STREET
A pplication NEBRASKA 68008
hn_, °M Building Permit Application (402) 426 -4191 -Phone
9 � (402) 426 -4195 - FAX
ME- 2014 -03269 a10 Ise of qV °\\ www.blairnebraska.org
11/10/2014 ShellyJ MECHANIC Residential November 10, 2014
LOCATIONOFIMPROVEMENT: 2255 South St, Blair, NE 68008
®' ARCHITECT: GENERAL Omaha Sheet Metal Works Inc.
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® OWNER: Hinke J And Jarod Jensen Troost CONTRACTOR:
4734 Trout Ln
2255 South St Blair, NE 68008
BLAIR, NE 68008 -0000
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NATURE OF WORK STRUCTURE
Elect /Mech /Plumbing Primary
PROJECT NAME PERMIT EXPIRES 11109/2016
2255SouthSt- 141110- Mechanical ESTIMATED COMPLETION DATE 11/1412014
DESCRIPTION OF WORK
Replace 3.5 ton A/C and 100,000 BTU furnace
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DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheckSUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
N/A
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
Building Official, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
applica 'on.
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Date
Signature of ) p icant j
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