SA-2012-00034_0001.tif American Lift & Sign Cc 402 - 572 -7044 p.2
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_. CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Application {402)42614191 -Phone
(402)426-4195-FAX
SA- 2012.00034 -0 ' °m� °, °� °` www.blairnebraska.arg
02/2812012 SIGIIi -AWN Commercial March 1, 2012
LOCH RONOFIMPROVEMENr 718 S 19th St, Blair, NE 68008
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ARCHITECT GENERAL American Lift & Sign
u OVUM Holstein Veterinary Clinic CONTRACTOR: 6958 N 97th Cir
' 718 S 19th St Omaha, NE 68122
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Blair, NE 68008
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NATURE OF WORK PROPOSED USE
Sign Primary Commercial
PERMIT EXPIRES 02127120/4
PROJECT NAME
718s19thst- 120202- Footings ESTIMATED COMPLETION DATE 2,012.03 -31
DESCRIPTION OF WORK
Holstein Veterinary Clinic Sign
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DEPOSIT PAID BY: SITE PLAN SUBMITTED: Received
Contractor
RESchecklCOMcheckSUBMITTED: NA
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DEPOSITSTATUS: BUILDING PLANS SUBMITTED: Received
$50
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1. No worst 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 Oce for review.
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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
Building Official, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
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Signature Of Applicant
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