SA-2014-02773_0001.tif CITYOFBLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
; -; 402 426 -4191 - Phone
Building Permit application {
(402) 4264195 - FAX
SA-2014 -02773 se oa www.blalrnebraska,org
109117/2014 bpeterse SIGN -AWN Commercial September 29, 2014
LOCATIONOFIMPROVEMENT: 1769 Washington St, Blair, NE 68008
ARCHITECT GENERAL Clear Image Signs & Graphics, Inc
s OMER: Thiel, Inc CONTRACTOR:
1225 Dunbar Rd
1769 Washington St Fremont, NE 68025
.r BLAIR, NE 68008 -0000
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MATURE OF WORK STRUCTURE
Storm Repair Primary
PROJECT NAME PERMIT EXPIRES 09/28/2016
1769WashingtonSt- 140917 -2014 Storm
Damage -sign ESTIMATED COMPLETION DATE 10131/2014
DESCRIPTION OF WORK
New S' x 10' sign damaged from hail storm on 10' high pole will have electricity
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DEPOSIT PAID BY: SITE PLAN SUBMITTED: Received
Contractor
REScheck /COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: Received
$50
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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