3252.tif CITYOFBLAIR
218 S. 16TH STREET
LAIR NEBRASKA 008
' Id ' ng Perm l Appi y
Bull 1 I f (402) 426.4191 - !'hone
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MS -2014-03252 ` ° '�lsa or quo www.blairnabraska.aorg
11145/2014 bpeterse M ISC Commercial November 5, 2014
LOCATIONOFIMPROVEMENT. 850 E Fairview, Blair, NE 68005
ARCHITECT:
GENERAL Mc Roofing & Sheet Me tal
OWNER. City of Blair CONMACTOR:
164 S 1st St
218 S 16th St Blair, NE 68008
B lair, ME 6800
NATURE OF WORK z
- 7 - S i - k6CTURE
Storm Repair Waste water treatment plant
PERM PROJECT NAME I 111 2016
n
850EFairview-141105-2014 Storm Damage ESTIMATED COMPLE DATE 1213112014
DESCRIPT
R oof - R ubber membrane for Waste water treatment plant.
DEPOSIT PAID Y: SITE PLAN SUBMITTED: NA
Ne
REScheckl O check SUBMITTED: NA
DEPOSIT STATUS: B UILDING NS SUBMITTED: NA
N/A
KYZ
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.
i
C
Signature o pplicant Date