CN-2012-00099_0001.tif CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building r It Application (402) 426- 4191 -Phone
may (402) 426 -4195 - FAX
N- 2012 -00099 ° Ise o1 a www.blairnebraska.org
Em MENEM= 1/02/2012 COM -NEW Commercial April 23, 2012
LOCATION OF IMPROVEMENT: 414 S 5th St, Blair, NE 68008
ARCHITECT:
� ARC GENERAL KRW Construction Inc.
OWNER: Marie Gordon Investments, Llc CONTRACTOR: 414 S 5th St
452 S 10th St Blair, NE 68008
�
BLAIR, NE 68008 -0000
T
NATURE OF WORK PROPOSED USE
New Construction Primary Commercial
IROJ CT NAME PERMIT EXPIRES 0410212014
414S5thSt- 120402 -New Commercial 10/1/2012
ESTIMATED COMPLETION DATE
)ESCRIPTION OF WORK
New storage building on property.
)EPOSIT PAID BY: SITE PLAN SUBMITTED: Pending
Contractor
REScheck/COMcheck SUBMITTED: NA
)EPOSIT STATUS: BUILDING PLANS SUBMITTED: Pending
t
No work will be started before a permit is ISSUED AND POSTED.
For commercial permits, a set of plans for this project must be submitted to the Nebraska State Fire Marshal's Office for review.
Separate permits are required for electrical, plumbing, heating, ventilating and air conditioning, and septic system.
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.
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
application.
o
Date
Inature of Applicant