SA-2011-00541_0001.tif i f CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Application (402)426- 4191 -Phone
j, a (402) 426 -4195 - FAX
SA- 2011 -00541 '�h, o f �� www.blairnebraska.org
12106/2011 SIGN -AWN Commercial December 12, 2011
'r LOCATIONOFIMPROVEMENT: 2100 S 20th St, Blair, NE 68008
ARCHITECT:
f },; GENERAL Clear Image Signs & Graphics, Inc
�j, OWNER: Hayden Place Shops LLC CONTRACTOR: 1225 Dunbar Rd
'i. 11506 Nicholas St Fremont, NE 68025
Omaha, NE 68154
NATURE OF WORK PROPOSED USE
Sub -Work New Const Primary Commercial
PROJECT NAME PERMIT EXPIRES 12/05/2013
2100S20th- Restaurant Remodel ESTIMATED COMPLETION DATE 2012 -01 -31
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DESCRIPTION OF WORK
Signs for El Rancho Restaurant. 2 on the building and inserts to the existing monument sign.
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. j
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
applicati —.v
Signature of Applicant S��( �11� (\` , ~,1� \ y�r ° \ Date