PB-2012-00399_0001.tif I
CITY OF BLAIR
J r = 218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Application (402)426 -4191 -Phone
9 y ,� (402) 426 -4195 - FAX
%_2012-0 a'O mIse of www.blairnebraska.org
POLEBARN Residential September 26, 2012
LOCATIONORMPROVEMENT: 14742 Cord P16, Blair, NE 68008
ARCHITECT:
� GENERAL Astro Buildings, Inc.
OWNER: Matthew Douglas Conradson CONTRACTOR: 1109 S 19th Suite A
14742 Co Rd P16 Omaha, NE 68108
BLAIR, NE 68008 -5509
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NATURE OF WORK PROPOSED USE
New Construction Pole Barn
PROJECT NAME PERMIT EXPIRES 09/26/2014
14742Cord P16- 120920 -Pole Barn ESTIMATED COMPLETION DATE
10/31/2012
DESCRIPTION OF WORK
42x63 Pole Barn No Electric and dirt floor.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: Received
Contractor
REScheck/COMcheckSUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: Received
$500
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
applications
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Date
Signature of li a.