AD-2012-00032_0001.tif CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Application (402 -4191 -Phone
A ®- ®72 - ® ® ®�2 (402)426- 4195 -FAX
°ruse � OP www.blairnebraska.org
02/28/2012 ADDITION Commercial 7 March 1, 2012
r LOCATIONOFIMPROVEMENT: 650 Industrial Park Dr, Blair, NE 68008
ARCHITECT:
GENERAL Graham Construction, Inc.
. 4tt OWNER: Cargill Inc CONTRACTOR: 13210 Centennial Rd Ste 1
PO BOX 5626 Omaha, NE 68138
MINNEAPOLIS, MN 55440 -5626
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NATURE OF WORK PROPOSED USE
Addition Primary Commercial - Polyols Control Room Vestibule
PROJECT NAME PERMIT EXPIRES 02/27/2014
6501ndustrial ParkDr- 120228 - Addition ESTIMATED COMPLETION DATE
2012 -04 -01
DESCRIPTION OF WORK
Polyols Control Room Vestibule Addition
DEPOSIT PAID BY: SITE PLAN SUBMITTED: Received
Contractor
REScheck /COMcheck SUBMITTED: NA
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DEPOSIT STATUS: BUILDING PLANS SUBMITTED: Received
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
app ' ati �
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�_�� Date
Signature fAppbee�4