RE-2011-00123_0001.tif i
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CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
B uilding Permit Application (402)426- 4191 -Phone
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RE- 201 he of (402) 426 -4195 - FAX
1 -00123 p �Ojn� se of Q ° www.blairnebraska.org
04/13/2011 7 Commercial May 3, 2011
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4 LOCATION OF IMPROVEMENT: 1260 Washington St, Blair, NE 68008
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r aj ARCHITECT:
GENERAL Walgreens Corp.
OWNER: Walgreens CONTRACTOR: 4389 Comanche Dr
300 Wilmot Rd Apt 3301
p SPRINGFIELD, IL 62711
t DEERFIELDIL, 60015 -0000
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,. ? � !� i" '� 4 � I � �E 33-t� " 5 eft t' I " g � " � ± " '- -i �`Y ➢ �` C� � � '` � �" e+-�` y'� e �
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NATURE OF WORK PROPOSED USE
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Remodel Primary Commercial
PROJECT NAME PERMIT EXPIRES 04112/2013
1260WashingtonSt- 110413- Commercial
Remodel ESTIMATED COMPLETION DATE 2011 -08 -01
DESCRIPTION OF WORK
Enlarging Pharmacy by converting multipurpose and training room into a compounding room.
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
/B uilding Official, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
pplication.
�S" App i t Date