DM-2013-00317.tif CITYOFBLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
B uilding r m It App lication (402) 426-4191 - Phone
9 (402) 426 -4195 - FAX
DM ®2013 -00317 A 10 /Se °r q www.blairnebraska.org
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MOMM" 08108!2013 DEMOMOVE Commercial August 21, 2013
ys, LOCATIONOFIMPROVEMENT: 693 Washington St, Blair, NE 68008
ARCHITECT: GENERAL Copeland Development & Construction Co.
I OWNER: Dollar General Store CONTRACTOR: 101 Vine St
693 Washington St Chillicothe, MO 64601
"1"�r; Blair, NE 68008
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NATURE OF WORK PROPOSED USE
Sub -Work New Const
New Commercial - Dollar General
PERMIT EXPIRES 08/08/2015
PROJECT NAME
693WashingtonSt- 130513 -New Commercial ESTIMATED COMPLETION DATE 8/8/2015
Dollar General
DESCRIPTION OF WORK
New Dollar General Building
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
RESchecklCOMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA t x
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
pplic Lion.
Date
Sign tune of Applicant
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