MS-2015-00167_0001.tif i
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CITYOFBLAIR
218 S.16TH STREET
BLAIR, NEBRASKA 68008
B uilding ermit Application (402) 426- 4191 - Phone
MS - 2 01 5 -00167 boo (402) 426 -4195 - FAX
mIse of a www.blairnebraska.org
03/19/2015 7 7bpeterse 7MISC � IIIIIIIIIII
Commercial March 20, 2015
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LOCATIONOFIMPROVEMENT: 100 Colfax St, Blair, NE 68008
ARCHITECT:
n GENERAL Jorgensen Contracting, Inc.
OMER: Richter Storage, Inc CONTRACTOR:
530 Front St
52611th St Blair, NE 68008
BLAIR, NE 68008 -0000
NATURE OF WORK STRUCTURE
Storm Repair Commercial Building
PROJECT NAME PERMIT EXPIRES 03/19/2017
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100ColfaxSt- 150319 -2014 Storm Damage
ESTIMATED COMPLETION DATE 12131/2015
DESCRIPTION OF WORK
Replace metal roofs, west & Noah walls, north side overhead door panels, 4 buildings with additions.
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck1COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
$50
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
in Official, shall censti ute s cl nt ground for the revocation of any permit issued which was based on the approval of this
appii f
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J ature of Applicant Date
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