RE-2012-00326_0002.tif i,
CITY OF BLAIR
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218 S. 16TH STREET
4 BLAIR, NEBRASKA 68008
Building Permit Application
(402)426- 4191 -Phone
RE -2�� 2 -��326 (402) 426 -4195- FAX j
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08110/2012 REMODEL Commercial September 19, 2012
LOCATIONOFIMPROVEMENT: 715 Grant St, Blair, NE 68008
ARCHITECT:
{ GENERAL SELF
OWNER: Steven M And Shari L Benoit CONTRACTOR:
4680 Pioneer Rd Blair, NE 68008
BLAIR, NE 68008 -0000
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Ji $11 �I i<.
NATURE OF WORK PROPOSED USE
Remodel Primary commercial structure
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PROJECT NAME
PERMIT EXPIRES 08/10/2014
715GrantSt- 120618 - Southcreek Conference 10/31/2012
Center ESTIMATED COMPLETION DATE
DESCRIPTION OF WORK
Remodeling for Southcreek Conference Center
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DEPOSIT PAID BY: SITE PLAN SUBMITTED: Pending
Contractor
REScheck /COMcheck SUBMITTED: Pending
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: Pending
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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
B ' cling Official, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
app 'ration.
Signe ure of p licant Date