CN-2011-00071_0002 (3).tif I
STATE OF NEBRASKA - STATE FIRE MARSHAL
246 South 14 Street j
Lincoln, NE 68508 -1804
ORDER FORM V- 010106
ORDER NUMBER .................... 112802 -11
DATE OF INSPECTION ............. 11/22/2011
OWNER .. ............................... Cargill
OCCUPANT ............................ North Visitor Center
ADDRESS .............................. 650 Industrial Park Drive
CITY / TOWN ........................... Blair
COUNTY . ............................... Washington
HOW OCCUPIED ..................... New Business
FEE CARD YES ❑ NO ❑ REVISIT DATE
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Code Review #M04018 -11 (Fire Alarm System), #M06015 -11 (Sprinkler System), and #M10112 -11
(Final Architectural Plan) are approved.
If you have questions on this Order, contact the District B State Fire Marshal Office at 402.395.2164.
Or mail at: State Fire Marshal Office, District B Office , 438 West Market, Albion, NE , 68620 -1241
All items must be corrected to comply with the laws of the State of Nebraska and with rules and regulations adopted by the
Nebraska State Fire Marshal as mandated by Sections 81 -502 to 81- 541.01
It is the duty of the owner or person in charge of the above -named facility or location to immediately take measures to bring
the facility into compliance with state regulations.
ALL CORRECTIONS SHALL BE MADE AND
ALL ITEMS CORRECTED ON OR BEFORE:
Any damage proximately caused by a failure to remedy the above listed deficiencies shall be deemed to be the sole
responsibility of the owner or person in charge by virtue of this notification and order.
Witness my electronically typed name at Fremont, Nebraska, this day of November 28, 2011,
By: Alan Viox #8713 Phone Number: 402 - 720 -4451
DEPUTY STATE FIRE MARSHAL
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State Fire Marshal E -Form 10 -2004 Page 1 of 1 Corrections Order