RE-2011-00418_0001.tif i
J� CITY OF BLAIR
? 218 S. 16TH STREET
L 1 r BLAIR, NEBRASKA 68008
i'f Building Permit Application (402)426- 4191 -Phone
�"\� "� � � (402) 426 -4195 -FAX
RE- 2011 -00418
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mr au www.blairnebraska.org
09/27/2011 REMODEL Commercial October 7, 2011
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LOCATIONOFIMPROVEMENT: 2100 S 20th St, Blair, NE 68008
ARCHITECT: GENERAL El Rancho Mexican Restaurant
OWNER; Hayden Place Shops LLC CONTRACTOR: 2100 S 20th St j
11506 Nicholas St
Blair, NE 68008 i
! Omaha, NE 68154
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NATURE OF WORK PROPOSED USE
Remodel Primary Commercial
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PROJECT NAME PERMIT EXPIRES 09/26/2013 j
2100S20th- Restaurant Remodel ESTIMATED COMPLETION DATE 2011 -12 -01
DESCRIPTION OF WORK
Remodeling bays #7, #8, & #9 into a mexican restaurant-El Rancho
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
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 witho t th 'intention of the undersigned or any alteration or change from this application without approval of the
N ing ficia,, hal onstitute sufficient ground for the revocation of any permit issued which was based on the approval of this
appr of
Signature of App ant Date