RE-2012-00031_0001.tif CITY OF BLAIR
,, ) 218 S. 16TH STREET
I BLAIR, NEBRASKA 68008
Building Permit Application (402)426 -4191 -Phone
(402) 426 -4195 - FAX
RE- 2012 -00031 www .blairnebraska . org
02/27/2012 REMODEL Commercial April 55, 2012
LOCATIONOF IMPROVEMENT. 1705 Washington St, Blair, NE 68008
�.< ARCHITECT:
GENERAL Brata Boutique
OVMER: Gamut Investment Group, Llc CONTRACTOR: 1705 Washington St
17011 Cedar Piz Apt 8b
p Blair, NE 68008
OMAHA, NE 68130 -0000
s — v:
NATURE OF WORK PROPOSED USE
Remodel Primary Commercial
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PROJECT NAME PERMIT EXPIRES 02/26/2014
1705WashingtonSt- 120227- Remodel
ESTIMATED COMPLETION DATE 2012 -05 -01
DESCRIPTION OF WORK
Remodel existing building into a clothing boutique
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.
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
plica on.
Sig atureofApplica D to
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