RE-2011-00540_0001.tif CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Application (402)426- 4191 - Phone
a° (402) 426 -4195 - FAX
RE - 2011 -00540 ;Se of www.blairnebraska.org j
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12/0512011 REMODEL Commercial December 12, 2011
LOCATIONOFIMPROVEMENT: 650 S 19th St, Blair, NE 68008
ARCHITECT: GENERAL William Dillon Construction Inc.
OWNER: Gamut Investment Group, Llc CONTRACTOR: 20104 Crestview Dr
17011 Cedar Piz Apt 8b SPRINGFIELD, NE 68059
OMAHA, NE 68130 -0000
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NATURE OF WORK PROPOSED USE
Remodel Primary Commercial- #662
PROJECT NAME PERMIT EXPIRES 1210412013
650S19thSt- 111205 - Remodel
ESTIMATED COMPLETION DATE 2012 -01 -31
DESCRIPTION OF WORK
Remodeling existing hair salon. There will be plumbing and electrical, also they will be removing non bearing wall
partition.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
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Contractor
REScheck/COM check SUBMITTED: NA
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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
ding Official, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
app ication.
ignatureofAp f nt Date
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