BP3905
TYPE OF INSPECTION -.--
ROUGH FINAL AMOUNT DUE DATE PAID SUB.CONTRACTORS
Temporary Service
Footings
Framing
3ermanent Service
Plumbing
=Iectrlcal
Healing
I\ir Conditioning
;eptlc/Sewer Inspection
Nater Inspection
;ewer Tap
Nater Tap
Remote
-inallnspectlon (',c.~ 4\;'.\11
~OMMENTS:
AMOUNT PAID: $4,000.00 - $15.00 72082
ADDRESS: 1118 Park Street
LOCATION:
Lot 11 B1k 90 111B Park Street
Inspection has been requested for
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Location of Building
By ~~ ;+J.,., J'JJJ)
Name of Company
On (T~~~nspectiOn)
At 40DJ87 r~
Date Time ~ 0 ~'
Results of the inspection are: /~ ~ 0 j A I h ~ L.u CI '?- .
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City Representative
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Inspection has been requested for
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Location of Building
By
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, Name of Company ,
On ~_~q~j0
( pe of Inspection) r \
At
Date
Time
Results of the inspection are:?ofv4G'l-o. G )'otr Ju !i7/0 -q I,
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City Representative
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CITY OF BLAIR
Application for Building Permit
PLOT PLAN
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Address
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Addition
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Legal Description: Lot
Please show all measurements of existing and contemplated structures,
also show distances between structures, etc., and property lines.
Is this a corner lot?
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Indicate North
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Applicant
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