PW-2015-00688.tif CITYOF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
B uild ing C It App lication (402) 426 -4191 - Phone
y (402) 426 -4195 - FAX
PW�2015�006�>3 A10 is of a www.blairnebraska.org
08/19/2015 WATRSERV Commercial August 19, 2015
LOCATION OF IMPROVEMENT: 237 Wetlands Rd, Blair, NE 68008
ARCHITECT:
r GENERAL Gethmann Construction Co., Inc.
OWNER: Lundquist Properties, Llc CONTRACTOR:
� PO Box 220
r� 20929 Sheffield St Gladbrook, IA 50635
ELKHORN, NE 68022 -0000
NATURE OF WORK STRUCTURE
Sub -Work New Const
PROJECT NAME PERMIT EXPIRES 0811812017
237WetlandsRd- 150819 -1 ESTIMATED COMPLETION DATE 9/3012015
DESCRIPTION OF WORK
Water and Sewer Line
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/COM check SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
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.
oe
Date
Signature of Applicant
CITYOF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
UI' Ir1 Pe Application
(402) 426-4191 -Phone
9 (402) 426 -4195 - FAX
PD-2015-00689 °�, a ° ° °, www.blairnebraska.org
EFEENEEMENEW
08/1912015 DRAINLAY Commercial August 19, 2015
LOCATIONOFIMPROVEMENT: 237 Wetlands Rd, Blair, NE 68008
ARCHITECT:
GENERAL Gethmann Construction Co., Inc.
OWNER: Lundquist Properties, Llc
CONTRACTOR:
PO Box 220
� 20929 Sheffield St Gladbrook, IA 50635
ELKHORN, NE 68022 -0000
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q b y
VAI,
u
NATURE OF WORK STRUCTURE
Sub -Work New Const
PROJECT NAME PERMIT EXPIRES 08/1812017
237WetlandsRd- 150819 -1
ESTIMATED C OMPLETI ON DATE 9/30/2015
DESCRIPTION OF WORK
Water and Sewer Line - Temporary Construction Trailer
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck /COMcheckSUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
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 e revocation of any permit issued which was based on the approval of this
application.
3 i ature of Applicant Date