SD-2011-00005.tif CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
;SD-2011-00005 Building Permit Application (402)426- 4191 -Phone
(402) 426 -4195 - FAX
lo rnise 01 www.blairnebraska.org
/2011 SIGNDECK Commercial January 17, 2011
TM;. " LOCATIONOFIMPROVEMENT: 193 Grant St, Blair, NE 68008
ARCHITECT: GENERAL Pearson's Painting
CONTRACTOR:
c OWNER: Robert W And Bernice Pearson 2113 Washington St
Wi 2113 Washington St Blair, NE 68008
BLAIR, NE 68008 -0000
..
NATURE OF WORK PROPOSED USE
Sign Primary Commercial
PERMIT EXPIRES 01/1112013
PROJECT NAME
193GrantSt-1 101 12-Sign ESTIMATED COMPLETION DATE 2011 -01 -31
DESCRIPTION OF WORK
Polymetal sign to be placed flush with fascia. Removing 1 existing sign on front of the building.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck /COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: Received
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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 without the intention of the undersigned or any alteration or change from this application without approval of the
uilding Official, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
a p ca
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Date
Signature of Applicant