EL-2015-00198.tif _ CITYOF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA68008
lllldll! @t'flll$ App lication
(402) 426 -4191 - Phone
(402) 4264195 - FAX
www.blairnebraska,org
03/26/2015 ELECTRIC Residential' March 26, 2015
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LOCAT10NOFIMPROVEMEUP 1 904 Washington St, Blair, NE 68008
� ARCHITECT:
� GENERAL Brase Electrical Contracting Corp
OWNER: David R And Ashley L Schulte CONTRACTOR:
4430 S 108th St
1904 Washington St Omaha, NE 68137
BLAIR, NE 68008 -0000
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NATURE OF WORK STRUCTURE
Elect/Mech /Plumbing Primary
PROJECT NAME PERMIT EXPIRES 03/2512017
1904Wash ingtonSt- 150326- Electrical
ESTIMATED COMPLETION DATE 4/312015
DESCRIPTION OF WORK j
Upgrade to 200 amp service and 5 -circuits
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. x
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
application.
�f CoAf, Corp 3
Signature of Applicant Date
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