Application 9071 Co Rd P33.tif CITYOF BLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
Building Permit Application (402) 426 -4191 -Phone
�,. (402) 426 -4195 -FAX
PB - 2015 -00809 p 'on ' Ise of a � www.blairnebraska.org
09/22/2015 POLEBARN Residential September 22, 2015
LOCATION OF IMPROVEMENT: 9071 Cord P33, Blair, NE 68008
� ARCHITECT:
GENERAL Morton Buildings, Inc.
® OWNER: Howard D Jr And Kristie E Thompson CONTRACTOR:
PO Box 177
9071 Co Rd P33 Onawa, IA 51040
BLAIR, NE 68008 -0000
SELECTED C
NATURE OF WORK STRUCTURE
New Construction Accessory Building
PROJECT NAME PERMIT EXPIRES 09/21/2017
9071Cord P33 - 150922 -Pole Building ESTIMATED COMPLETION DATE
12/112015
DESCRIPTION OF WORK
30 x 32 Pole Building - Different Contractor will pull an electrical permit and a permit for the cement floor
DEPOSIT PAID BY: SITE PLAN SUBMITTED: Pending
Contractor
REScheck/COMcheckSUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: Received
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.
Date
Signature of Applicant