CN-2011-00194_0001 (2).tif i CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 680,.,
" If Building Permit Application (402)426- 4191 -Phone
C N - 2011 - 00194 (402) 426- 4195 - FAX
fO " >ise o au www .blairnebraska.org
06/0212011 COM -NEW Commercial June 8, 2011
, LOCATIONOFIMPROVEMENT: 1540 State St, Blair, NE 68008
ARCHITECT:
GENERAL SELF
t OWNER: Mathiesen Grain Company CONTRACTOR:
P� 1550 Nebraska St Blair, NE 68008
9 BLAIR, NE 68008 -0000
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NATURE OF WORK PROPOSED USE
New Construction
Primary Commercial
PROJECT NAME
PERMIT EXPIRES 06101/2013
1540StateSt- 110602 -Grain Bin
ESTIMATED COMPLETION DATE 2011 -09 -30
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DESCRIPTION OF WORK
255,000 Bushell Tank 111' tall. Will have electric.
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DEPOSIT PAID BY: SITE PLAN SUBMITTED: Received
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 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
ap li tion.
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Date
Signature of Applicant