CN-2010-00176_0001.tif CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
15111 �' °o__ Building Permit Application
(402)426- 4191 -Phone
(402) 426 -4195 - FAX
CN 2010 -00176 10 Ise of � www.blairnebraska.org
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10/21/2010 COM -NEW 7 1ndustrial October 21, 2010
LOCATIONOFIMPROVEMENT: 650 Industrial Park Dr, Blair, NE 68008
ARCHITECT:
® GENERAL Cargill
® OWNER: Cargill Inc CONTRACTOR:
PO Box 5626 Blair, NE 68008
MINNEAPOLIS, MN 55440 -5626
Ne � r _0 <In alrB
NATURE OF WORK PROPOSED USE
New Construction Temporary Structure - Construction Trailer
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PROJECT NAME
PERMIT EXPIRES 1012012012
6501ndustrial ParkDr-1 01021 -1 ESTIMATED COMPLETION DATE
2010 -11 -30
DESCRIPTION OF WORK j
Project Trailer - 60 x 24 - Construction purposes for drawing storage and employee breaks- temporary for two year
project
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DEPOSIT PAID BY: SITE PLAN SUBMITTED: Received
Contractor
REScheck/COMcheckSUBMITTED: NA
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DEPOSIT STATUS: BUILDING PLANS SUBMITTED: Received
91 IBM
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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 witho t the intention of the undersigned or any alteration or change from this application without approval of the
Building Offici I, hall co titute sufficient ground for the revocation of any permit issued which was based on the approval of this
pplication.
Date
Signature ofAppli nt