Signature page_0001.tif i
/ A � CITY OF BLAIR
i 218S. 16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Application (402)426 - Phone
(402) 426 -4195 - FAX
MS -2012 -00516 o o a www.blaimebraska.org
11/08/2012 MISc Commercial November8, 2012
LOCATIONOFIMPROVEMENT: 219 N 10th St, Blair, NE 68008
ARCHITECT:
GENERAL SELF
OWNER Probst Enterprises, Inc CONTRACTOR:
8 Military Rd Blair, NE 68008
OMAHA, NE 68134 -0000
t .:
NATURE OF WORK PROPOSED USE
Misc. Permit Cell Tower
PROJECT NAME PERMIT EXPIRES 11/08/2014
219N $t- 121108 -Cell Tower Upgrade ESTIMATED COMPLETION DATE 2/112013
DESCRIPTION OF WORK
Cell tower upgrade - Changing out antennas with the removal of two and replacing with three new antennas.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: Received
Contractor
RESchecklCOMcheck SUBMITTED: NA
DEPOSIT STATUS:. BUILDING PLANS SUBMITTED: Received
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
fi" 'on.
W�6- x k P U5 d &G/ -� o`er.
Signature of Applicant LlI1 � -- l ..S , (4= Date