MS-2012-00492_0001.tif CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
B uilding Permit Application (402)426- 4191 - Phone
(402) 426 -4195 - FAX
MS 2012 - 00492 b ' °"Ns 01 a ° www.blairnebraska.org
10/29/2012 sjones
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MISC Commercial October 29, 2012
LOCATIONOFIMPROVEMENT: 715 Grant St, Blair, NE 68008
®, ARCHITECT: GENERAL The Sign Depot
OWNER: Steven M And Shari L Benoit CONTRACTOR: 760 Front St t
4680 Pioneer Rd Blair, NE 68008
BLAIR, NE 68008 -0000
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NATURE OF WORK PROPOSED USE
Sign Sign
PROJECT NAME PERMIT EXPIRES 10/29/2014
715G rantSt- 121029 -Sign 12/1 /2012
ESTIMATED COMPLETION DATE
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DESCRIPTION OF WORK
Ground Sign - 56 sq ft 57' High with direct burial installation of pipes for mounting
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DEPOSIT PAID BY: SITE PLAN SUBMITTED: Received
Contractor
REScheck/COMcheckSUBMITTED: 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. r
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
aBuil or without the intention of the undersigned or any alteration or change from this application without approval of the
g Official sh onsti tute sufficient ground for the revocation of any permit issued which was based on the approval of this
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Date
§ignature of Applicant
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