cn-2011-00187_0001.jpg CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
�jilit 1 LT{i Vin, , max•`: Building Permit Application (402)426- 4191 -Phone
(402) 426 -4195 - FAX
CN- 2011 -00187 °m o, a° www.blairnebraska.org
05/24/2011 COM -NEW Commercial May 24, 2011
i LOCATIONOFIMPROVEMENT: 560 Grant St, Blair, NE 68008
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ARCHITECT: GENERAL MityMo Storage LLC
.� C; OWNER: Mity Mo Storage
CONTRACTOR:
560 Grant St Blair, NE 68008
=` Blair, NE 68008
SELECTE P'll
CHARA CTERISTICS
NATURE OF WORK PROPOSED USE
New Construction Storage facility
PROJECT NAME PERMIT EXPIRES 05/23/2013
560GrantSt- 110524 -1 ESTIMATED COMPLETION DATE 2011 -08 -15
DESCRIPTION OF WORK
Two new storage facilites - 1 -140 x 10 and 1 -130 x 40 on cement slab
DEPOSIT PAID BY: SITE PLAN SUBMITTED: Received
Contractor
REScheck/COMcheckSUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: Received
- AFFA DAVIT O
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
Building Official, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
applicatjon.
D
Signature of Applicant