PL-2011-00068_0001.tif CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
® Building Permit Application (402)426- 4191 - Phone
(402) 426 -4195 - FAX
PL- 2011 -00068 prOmiSe of °qJ0`\ www.blairnebraska.org
03/1712011 PLUMBING Industrial March 17, 2011
LOCATIONORMPROVEMENT: 650 Industrial Park Dr, Blair, NE 68008
ARCHITECT:
� GENERAL Ranslem Plumbing/Veskerna Plumbing
OWNER: Cargill Inc CONTRACTOR:
PO Box 5626 Arlington, NE 68002
MINNEAPOLIS, MN 55440 -5626
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NATURE OF WORK PROPOSED USE
New Construction Temp sewer
PROJECT NAME PERMIT EXPIRES 03/16/2013
6501ndustrial ParkDr- 110308- TempTrailers
ESTIMATED COMPLETION DATE 2011 -04 -30
DESCRIPTION OF WORK
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Sewer connection with temp septic tank and water service.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: Received
Contractor
REScheck/COMcheckSUBMITTED: 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
Buildipg Official, sh 11 constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
c
,applic io
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ignature of Applicant Date