MS-2015-00170_0001.tif CITYOFBLAIR
218 S.16TH STREET
BLAIR, NEBRASKA 68008 j
° s _
B uilding Permit ppiiCation (402) 426 -4191 - Phone
MSA20'[5 - 0 ®17® e oo ��ia' (402) 426-4195 - FAX
1se 01 4 www.blairnebraska.org
03/1912015 71bpeterse 7 MISC Commercial March 20, 2015
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LOCATIONOFIMPROVEMENT: 351 Grant St, Blair, NE 68008
ARCHITECT:
GENERAL Jorgensen Contracting, Inc.
# ® CANER: James L Sandvold CONTRACTOR:
530 Front St
351 Grant St Blair, NE 68008
BLAIR, NE 68008 -0000 -
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NATURE OF WORK STRUCTURE
Storm Repair S & S Pumping i
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PROJECT NAME PERMIT EXPIRES 03/19/2017
351GrantSt- 150319 -2014 Storm Damage l l
ESTIMATED COMPLETION DATE 12/31/2015 1
DESCRIPTION OF WORK
Replace metal roof, west & north walls, 3 north side overhead doors, walk door and windows.
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DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck1COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
$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
f wi or without the intention of the undersigned or any alteration or change from this application without approval of the
Buildi Official, shall con to s cient ground for the revocation of any permit issued which was based on the approval of this
appli ,
i ature of Applicant Date
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