CE-2013-00429.tif CITYOF BLAIR j
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
W � B uild ing Pe rmit Application (402) 426 -4191 -Phone
a, ry � (402) 426 -4195 - FAX
CE- 2013 -00429 °mus 01 00° www.blairnebraska.org
09/2312013 CURB -EXC Commercial September 23, 2013
LOCATIONOFIMPROVEMENT: 1550 Nebraska St, Blair, NE 68008
ARCHITECT:
GENERAL Olson & Stewart Construction Inc.
78 c OWNER: Grain Co Mathiesen CONTRACTOR: PO Box 271
' 1550 Nebraska St Blair, NE 68008
.�' BLAIR, NE 68008 -0000
WE- COMINVIEN OR
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NATURE OF WORK PROPOSED USE
Misc. Permit Primary Commercial - Mathiesen Grain
PROJECT NAME PERMIT EXPIRES 09123/2015
1550NebraskaSt- 130923 -Curb grind ESTIMATED COMPLETION DATE 10123/2013
DESCRIPTION OF WORK
Grinding curb for existing driveway.
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DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Bond check back to Olson
REScheck/COMcheckSUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
N/A
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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
Building Official, shall constitute sufficient ground for the revocation of any permit issued which was based on the approval of this
application.
Signature of Applicant Date
ciTY OF LAIR, NEBRASKA
Phone 402 - 426 -4191
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RECEIVED OF:
ADDRESS
CITY, STATE, ZIP CODE
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I KEEP THIS COPY FORYOUR RECORD
THANKYOU
RECEIVED
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Pounds Printing, Blair, NE 68008
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CITY Of I)LAIQ
aro /se of
BUILDING PERMIT SUPPORTING DOCUMENTS
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This building permit packet includes various items dealing with particular code
requirements and /or building permit requirements. It in no way includes ALL particular
code items. Also, it is your responsibility to know the 2009 International Building
Code requirements that apply to your project. Please understand this packet is only j
designed and distributed to aid you in your building permit process. A copy of the
International Building Code is available for your use at the Blair Public Library.
I have read the above disclosure and accept this building permit documentation on my
own behalf assuming full responsibility as the owner /contractor for this project.
Owner /Occupant Contractor ad
City of Blair Date
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218 South 16th Street • Blair, Nebraska 68008 • 402 - 426 -4191 • Fax 402 -426 -4195 E -mail cityofblair @d.blalr,ne.us oo;owr,