AD-2011-00553_0001.tif I
CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Application (402)426- 4191 -Phone
(402) 426 -4195 - FAX
AD- 2011 -00553 r �+� /Se of qJ° www.blairnebraska.org
12/16/2011 ADDITION Commercial December 30, 2011
LOCATIONOFIMPROVEMENT: 650 Industrial Park Dr, Blair, NE 68008
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ARCHITECT:
a GENERAL NatureWorks LLC
OWNER: Cargill Inc
CONTRACTOR: 650 Industrial Park Dr
PO Box 5626 Blair, NE 68008
MINNEAPOLIS, MN 55440 -5626
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NATURE OF WORK PROPOSED USE
Addition Primary Commercial
PROJECT NAME PERMIT EXPIRES 12/15/2013
6501ndustrial ParkDr- 111216 -Storm Sewer ESTIMATED COMPLETION DATE 2012 -02 -15
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DESCRIPTION OF WORK
Moving 200' of storm sewer and replacing some junction boxes.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COM check SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: Pending
$500
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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
Buildi fficial, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
p 'cati rn.
Date
`� - gnature of Applicant