MS-2012-00301_0001.tif CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
,... Building ePi111t Application ( 402 ) 426- 4191 - Phone
(402) 426- 4195 - FAX
MS -2012 -00301 10INSe of a o° www.blairnebraska.org
07/25/2012 bpeterse MISC Commercial July 25, 2012
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LOCATIONOFIMPROVEMENT: , Blair, NE 68008
x ARCHITECT:
GENERAL Olson & Stewart Construction Inc.
� OWNER: Marty L Shepard CONTRACTOR: PO Box 271
r 2138 Park St Blair, NE 68008
BLAIR, NE 68008 -0000
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NATURE OF WORK PROPOSED USE
Patio /Driveway Primary Commercial
PROJECT NAME
PERMIT EXPIRES 07/25/2014
- 120725- Driveway
ESTIMATED COMPLETION DATE 8/1/2012
DESCRIPTION OF WORK
Driveway pad for business.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: Received
NA
REScheck /COMcheckSUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
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N/A
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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
application.
42
Date
Signature of Appli pant