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BP6108,, ~, ~ BUILDING PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 (402) 426-4191 Permit_ Application Date: a~ / Issue Date: Permit Fee: $ l~ Da JOB ADDRESS / LEGAL 1 ' DESCR. NO. LOT BLK. TRACT ^ SEE ATTACHED SHEET 2, OW ~ MAILADDRESS ZIP PHONE 3, CONTR C R MAILAD S /G~ /r, PHON ~ CE 0. USE 0 BUILDI G 4. ~ C-{~J / ~ rj / J ~ J ~~p 6 fp 5. Class of Work: ^ NEW ^ ADDITION ^ALTERATION ^ REPAIR ^ MOVE ^ REMOVE 6. Describe Work: ], Sq. FOOtage Of StrUCture (Including Basement and Garage): $, Change of Use From: Change of Use To: g, Valuation of Work: $ ~~6 ° ~' Floodway Yes ^ 10. Floodplain: Fringe Yes^ No ^ Dev. Permit Elev. corr. No ^ BFE 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 _ Site Plan Attached ^ Com Je~e,Pfans A~~he ^ Approximate Completion Date ~~~/ , Inspections Required and Fees Utilities Sewer Tap Water Tap Sewer Water Service Septic Remote TION ACCEPTED 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 copyof this application form signed bythe Building Inspectorand stamped 'APPROVED'. I hereby agree to perform the proposed work in accordance with the specifications setforth ab nd in accordance with the codes~ordinances of the City of Blair and the State of bras . I understand that this permit is void i rk is not commenced within 180 days is not mpl it ' 2 ears of date ue SIGNATU 0 WNER~CONT CTOR OR AUTHORIZED AGENT DATE Footings Framing Rough-in Final 19.1 Temporary Servi Rough-in Final Plumbing Ground Work SIGNATURE OF OWNER (IF OWNER BUILDER) DATE ~ Rough-in Final WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Building 6108 Permanent Service Mechanical - ABC _ G Comment: Appro d` y: n ~ r~~ CITY OF BLAIR Application for Building Permit Address Date Legal Description: Lot Block Addition Please show all measurements of existing and contemplated structures, also show distances between structures, etc., and property lines. Is this a corner lot? v .r., a s~ v 0 a '~ Pro ert Line ' 1 ~ ~~~~~ ~ ~~ L ~~ _ _Center Line_of _ _ _ Indicate North Street_ _ Applicant -- BUILDING PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 (402) 426-4191 Permit_ JCL ~ ~C_C~ Application Date: ~ (~ - ~U '-~ ~ Issue Date: / 0 ~ ZO ~ f 7 Permit Fee: $ ~ JOB ADDRESS i g r~ Vti'czs h ~ ~~n LEGAL 1 ' DESCR. LOT NO. BLK. TRACT ^ SEE ATTACHED SHEET 2. OWNER ~ T I (~ ~1J1.1~ ,f ~-l~ MAILADDRESS ZIP PHONE 3. CONTRACTOR /~Y1r~l~e-~ ~l~c~'~c~ MAIL ADDRESS PHONE LICENSE NO. ~~U1 S~. /d~Cii"c-.S ~I/~(~U~°_ (J/~~'~~)C! /~~~~/CAS- ~~l/'(~`-~7c1` USE OF BUILDING 4. 5. Class of Work; NEW ^ ADDITION ^ ALTERATION ^ REPAIR ^ MOVE ^ REMOVE 6. Describe Work: -E"~~~~~(~ ~~ ~~;~ U I ~~ e ~~ v r Cn ]. Sq. FOOtage Of StrUCture (Including Basement and Garage): 8. Change of Use From: Change of Use To: g, Valuation of Work: $ 10. Floodplain: Floodway Yes ^ No ^ Fringe Yes^ No ^ Dev. Permit Elev. Cert. BFE 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 _ APPLICATION ACCEPTED BY PLANS CHECKED BY 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 by the Building Inspector and stamped 'APPROVED'. I hereby agree 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. I understand chat this permit is void if work is not commenced within 180 days or is not co pet within 2 ars f ate of issue. %© "~ SIGNATU NERfCONTRAC OR OR AUTHORIZED AGENT,r DATE Site Plan Attached ^ Complete Plans Attached ^ Approximate Completion Date Inspections Required and Fees Utilities Sewer Tap Water Tap Sewer Water Service Septic Remote Building Footings Drywall (before finish) F i Final ram ng Electrical Rough-in Fixtures Final ~- ~~ ~> Permanent Service Temporary Service Mechanical Rough-in ABC Final Plumbing Ground Work SIGNATURE OF OWNER (IF OWNER BUILDER) DATE I Rough-In Final WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT ^ 6141 Comment: Approved By: ... ..~.... ...,:.. .,._~..~~ Rwv 1N1 r~ SPECIFICATIONS; NEW D/F GROUND SIGN DISPLAY. CABINET, FACES, REVEAL & POLE COVER FABRICATED OUT OF ,080 ALUMINUM, ALUMINUM FACE(S) ROUTED & BACKED WITH 3/16" WHITE PLEXIGLAS, ILLUMINATION BY CW/HO FLUORESCENT LAMPS OPERATING ON 800ma. BALLAST CAPITCJL L IQN7INQ YDUR WAY 1M0 THE 9de, 4925 N. 56th. ST. LINCOLN, NE. ^ 402 - 466-7446 APPROVED BYi JOB TITLE: FIRSTIER BANK LOCATION: BLAIR NEBRASKA DESIGN # 14732 DISK# 117 REVISION# 2 071 94 D. JERKOVICH OPTION# SALES: JAY MULLER DESIGNER: DENNIS A. JERKOVICH DATE: 4615 4 " This design and all material appearing hereon constitute the original unpublished work of CAPITOL SIGN CO. and may not be duplicated, used or disclosed without written consent. 8, 0.. 22" 7' 0" (PAD MOUNT) 18" 1 ~ ~ I /'~ 1. ~/ Y $(~ / ~~ ~ ~ 5 ~ f Co ~ _ - _ F N _~, E I~ ~-~. ~r~ . C~;~ ~ ~ y,,,, m +y + i I :~- ;' j iid: ~ ', '. -~ ' ~ ~1 ~~ ~ ~I n~ t ~_ t ~r v ~v , W M ~ ~'' + P ~F `' i