CN-2011-00478_0001.tif e CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Application (402)426- 4191 -Phone
CN- 2011 - ®Q478 b� (402)426- 4195 -FAX
Wise of a www.blairnebraska.org
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10/2512011 COM -NEW Commercial November 14, 2011
1- LOCATIONOFIMPROVEMENT: 467 S 1st St, Blair, NE 68008
} ARCHITECT:
GENERAL Machine Worx Inc.
OWNER: Robert W Burt CONTRACTOR: 147 Colfax St
147 Colfax St
Blair, NE 68008
w BLAIR, NE 68008 -0000
10 Q -111
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NATURE OF WORK PROPOSED USE
New Construction Primary Commercial
PROJECT NAME PERMIT EXPIRES 10/24/2013
467S1stSt 110920 - New Commercial
ESTIMATED COMPLETION DATE 2012 -03 -21
DESCRIPTION OF WORK
Interior finish in shell of new shop building. 2 ADA bathrooms, shop area, office, break room and reception area.
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
Bulling Official, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
`1 appl cation.
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atureofApplicant Date