FX-2015-00439.tif I
CITYOFBLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
"0 ���I� Building Permit Application (402) 426 -4191 -Phone
(402) 426 -4195 - FAX
FX -2015 -00439 1 0 � /se of Q www.blairnebraska.org
05/29/2015 FIRE -EXT Commercial July 2, 2015 77
LOCATIONOFIMPROVEMENT: 238 S 8th St, Blair, NE 68008
I' ARCHITECT:
GENERAL Boyd Jones Construction Co.
OWNER: Blair Plaza, Llc CONTRACTOR:
PO Box 31336
1941 S 42nd St Ste 550 Omaha, NE 68131
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OMAHA, NE 68105 -0000
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NATURE OF WORK STRUCTURE
Sub -Work New Const No Frills
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PROJECT NAME PERMIT EXPIRES 05128/2017
238S8thSt-15021 1 -Commercial Remodel
ESTIMATED COMPLETION DATE 5/29/2017
DESCRIPTION OF WORK
Suppression System for No Frills
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
NA
REScheck /COMcheck SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
N/A
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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
ap 'cation.
Signature of Applica Date
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C OMMERCIAL PLANS
SUBMITTAL FORM �
permit Number:
Date:
Address of job site:
Description of submittal:
Number of plan sets submitted:
Name of person delivering the plans:
Company name of delivery person:
Phone number of delivery person:
Id contact if we have questions about these plans:
Person we shou
Contact person:
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Company name:
Position with company: w f
Office Phone number: -- :::
Cell Phone number:
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E -Mail: D t Forms�Forms�Plaus Submittal Form -2 9- 2012.doc
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Blair, Nebraska 68008 ; 402 -426-4191 •Fax 402- 426 -4195 + E -mall c�iofblair @ai•b ►aU,ne;ua