PERMIT APPLICATION (7).TIF CITY OF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
402
building Permit Application ( ) 426 -4191- Phone
CN - 2012 -00508 ) y m,se of Owww.blairnebraska.org
11/06/2012 COM -NEW Industrial November 16, 2012
LOCATIONOFIMPROVEMENT: 250 S Industrial Park Dr, Blair, NE 68008
ARCHITECT; GENERAL Graham Construction, Inc.
#_ OWNER: Terra Nitrogen Lmtd Partnership CONTRACTOR: 13210 Centennial Rd Ste 1
4 Parkway N Ste 400 Omaha, NE 68138
DEERFIELD, IL 60015 -2542'
'Y ... �,.,: �. cz j .. `:;✓. Y .-, r..,.✓, a�Z-' '"``:?F,'u','g^;`:.w`_'''2,�'1 " ^ 's°.`' N ','j�
s, �'�"ls�, '
�r;•; > r- wr "� - ` - 'rte
NATURE OF WORK PROPOSED USE
New Construction Concrete containment wall
PROJECT NAME PERMIT EXPIRES 11/06/2014
Wall dustrial ParkDr- 121106 - Containment
Wall ESTIMATED COMPLETION DATE 12/3112012
DESCRIPTION OF WORK
7 ft x 630 ft concrete containment wall
�
DEPOSIT PAID BY: SITE PLAN SUBMITTED: Received
Contractor
REScheck/COMcheckSUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: Received
WMI 10
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, sha constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
lication.
11-21 -1
Date
Signature of Applicant