CN-2011-00404_0001.tif CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
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Building Permit Application (402)426- 4191 -Phone
�a (402) 426 -4195 - FAX
CN °20'11 - 00404 ArO Oise of QJ °� www.blairnebraska.org
09/20/2011 COM -NEW Commercial October 27, 2011
LOCATIONOFIMPROVEMENT: 467S 1st St, Blair, NE 68008
ARCHITECT:
r= GENERAL TIJ Construction
OWNER: Robert W Burt CONTRACTOR: 1 - Ave
147 Colfax St Missouri Valley, IA 51555
BLAIR, NE 68008 -0000
IS
NATURE OF WORK PROPOSED USE
New Construction Primary Commercial
PROJECT NAME PERMIT EXPIRES 09119/2013
467S1stSt- 110920 -New Commercial
ESTIMATED C OMPLETI ON DATE 2011 -12 -01
DESCRIPTION OF WORK
70 x 144 New Machine Works Shop
DEPOSIT PAID BY: SITE PLAN SUBMITTED: Pending
Contractor
REScheck /COM check 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 lication
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Signature of Applicant Date