BP5110~UILDIIVG PERMIT APPLICATION
Jurfsdlctlon of Clty of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008 No
(402) 426-4191 Permit
Application Date: ~ ~ ' ~~ ` ~~ Issue Date: ~ ~ "~ " ~ Z-
Site Plan Attached Complete Plans Attached ^
Approximate Co letion Date ~ ~ - ~ - c1 Z
Inspections Required and Fees
Utilities
Sewer Tap Water Tap
JOBADDRESS
C~~U S - 1 ~`~~ ~~
1 , LEGAL
DESCR. LOT NO. BLK. TRACT ^ SEE ATTACHED SHEET
2, OWNER MAILADDRESS ZIP
L1-, 11 r1 GL~C C~~ G~ ~f PHONE
3 CONTRACTOR ~ ~ ~ ~~ ~~~ ,MAIL ADDRESS ~ ~~ ~ ~ ~~ PHON
.11~. ~~~~ ~~~~LI~ NSE~ ~~ ~~ ~~
4, USE OF BUILDING ~ ~~
5, Class of Work: ^ NEW ^ ADDITION ALTERATION ^ REPAIR ^ MOVE ^ REMOVE
6. Describe Work: ~~~~ ~ ~ ~~"~ ~ ~Lq/~
7, Sq. Footage Of StrUCture (Including Basement and Garage):
8, Change of Use From: Change of Use To:
g, Valuation of Work: $ ~~ (~
10. Flood lain: Floodway Yes ^ No ^ Dev. Permit
p Fringe Yes^ No ^ BFE Elev. Cert.
11. Current Zoning:
12. State Fire Marshall Required: Yes ^ No^
13. Special Use Permit Required: Yes ^ No ^
14. Variance Required: Yes ^ No ^
15. Minimum Setbacks: Front Side Rear
16. Sidewalk Required: Yes ^ No ^ Waiver Approved _
BY I PLANS CHECKED BY I APPROVED FOR ISSUANCE BY
NOTICE
Separate permits are required for electrical, plumbing, heating, ventilating and air condi-
tioning, and septic systems. By my signature below, I achnowledge that payment of the
building permit application fee does not constitute issuance of this building permit. I further
agree that construction covered by this permit application shall not be commenced until I
have received a copy of this application form signed bythe Building Inspector and stamped
'APPROVED'.
I hereby agree to perform the proposed work in accordance with the specifications set forth
above and in a rdance with the codesJordinances of the City of Blair and the State of
Nebraska. I u de tand that t permi void if work is not commenced within 180 days
or is not co I d withi ars of to of issue.
/a ~ - ~ ~
SIGNATURE OF OWNER(CONTRAC R OR ORIZED AGENT DATE
SIGNATURE OF OWNER (IF OWNER BUILDER)
DATE
Sewer
Permit Fee: $ >. ~~
Water Service
Septic Remote
Building
Footings Drywall
(before finish
Framing ~ Final
Electrical
Rough-in / lf~1tr~~- Fixtures
Final / h • a~ ' Qm.S Permanent Service
Temporary Service
Mechanical
Rough-in/~ ABC _
Finali~~-~-~ ~~~ -~S
Plumbing
Ground Work
Rough-in Final
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
5110
POUNDS PRTG: Blelr, NE ~ Rev. 7081
City of Blair
218 South 1 bth
Blair, Nebraska 68008
402-426-4191
~ ~'
. ~ ~J
O
~ promise
October 21, 1992
Postmaster
Blair Post Office
201 N. 16th St.
Blair, NE 68008
Dear Sir,
Mr. Lynn Marquardt of Lynn's Auto located at 642 S. 19th St.
has rented a building on the north portion of his property to B &
L Auto Parts, Tekamah. They have contacted the City of Blair as
they plan to expand their business and operate an auto parts
store at this location dba B & L Auto Parts.
We have assigned them a new address since Lynn's Auto will
also continue to operate at this location. The address for. this.
new business will be 640 5. 19th Street and Lynn's Auto will
remain the same.
Thank .you for your .cooperation in this matter. If you have
any questions, feel free to contact me.
Sincerely,.
~~ ~ ~ /d~
~ Brenda Taylor'
City of Blair
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