re-2011-00066_0003.jpg L CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
` 11 r `' Building Permit Application (402)426- 4191 -Phone
(402) 426 -4195 - FAX
RE- 2011 - 00066 :e 01 a° www.blairnebraska.org
03/16/2011 REMODEL Commercial March 16, 2011
LOCATIONOFIMPROVEMENT: 1630 Washington St, Blair, NE 68008
ARCHITECT: GENERAL Chandra Petersen
`,o) OWNER: Richard F And Ann E Hansen CONTRACTOR: 1630 Washington St
fl_3.. 2323 Colfax St Blair, NE 68008
BLAIR, NE 68008 -0000
SELECTED CHARACTERISTICS OF •'
NATURE OF WORK PROPOSED USE
Remodel Primary Commercial
PROJECT NAME PERMIT EXPIRES 03/15/2013
1630WashingtonSt- 110316 -Bakery Remodel 2011 -03 -31
ESTIMATED COMPLETION DATE
DESCRIPTION OF WORK
48" Doorway and two pass- through window openings. Will have plumbing. No mech. or elect. required.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: Received
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 withou the intention of the undersigned or any alteration or change from this application without approval of the
Building Official, I constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
a placation.
Signature of Applicant Dat