RE-2011-00281_0001.tif s � CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building Pit Application (402)426 -4191 -Phone
RE- 20'1 002$1 4 \� - � ng erm (402) 426 -4195 - FAX
' °f AJ www.blairnebraska.org
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1 07/20/2011 REMODEL Commercial August 22, 2011
V& LOCATIONOFIMPROVEMENT: 2100 S 20th Suite #10 St Blair NE 68008
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R 4 ARCHITECT:
GENERAL Overland Constructors, Inc.
OWNER: Hayden Place Shops LLC CONTRACTOR:
5036 S 135th St
11506 Nicholas St
OMAHA, NE 68137
r Omaha, NE 68154
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NATURE OF WORK PROPOSED USE
Remodel Jimmy John
PROJECT NAME PERMIT EXPIRES 07/19/2013
2100S20th Suite #10St- 110720- Restaurant
Remodel ESTIMATED COMPLETION DATE 2011 -10 -31
DESCRIPTION OF WORK
Remodeling existing restaurant into new Restaurant -Jimmy John's
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
uilding Official, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
p Iica
ignature of Applicant Date
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