CN-2011-00424_0001 (2).tif i
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CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
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Building Permit Application (402)426- 4191 -Phone
(402) 426 -4195 - FAX
CN 2011 - 00424 p�on,Ise of a o� ° www.blairnebraska.org
09/2912011 bpeterse COM -NEW Commercial October 6, 2011
a; LOCATIONOFIMPROVEMENT: 650 Industrial Park Dr, Blair, NE 68008
ARCHITECT:
GENERAL Rescar565
OWNER: Cargill Inc CONTRACTOR: 1001 -B S 4th St
PO Box 5626 Blair, NE 68008
MINNEAPOLIS, MN 55440 -5626
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NATURE OF WORK PROPOSED USE
New Construction Temporary Trailer
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PROJECT NAME PERMIT EXPIRES 10/05/2013
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6501ndustrial ParkDr- 110929 - Temporary
Trailer ESTIMATED COMPLETION DATE 2011 -10 -15
Trailer
DESCRIPTION OF WORK
Temporary Trailer to be used to store equipment- Address for trailer is 1001 -B S 4th Street
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DEPOSIT PAID BY: SITE PLAN SUBMITTED: Received
Contractor
REScheck/COMcheckSUBMITTED: NA
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DEPOSIT STATUS: BUILDING PLANS SUBMITTED: Received
$500
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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
Building Official, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
applicatio .
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Signature of Applicant Date