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Signature Pages.tifr-1 U1111 -- BUILDING PERMIT DEPOSIT AGREEMENT A $500.00 refundable deposit is being collected for any new commercial, new residential, and any additions, remodels and accessory building valued $10,000 or greater at the time of your building permit application. A $200.00 ref dable deposit is being collected for any residential remodel, addition or accessory building valued under $10,000. A .00 refundable deposit is being collected for all misc. permits. The City reserves the right to not refund this deposit if any of the following conditions occur during the construction period: 1) Theft of water service by the plumber, owner or general contractor. $5The ll permits have not been obtained. ll required inspections have not been obtained. ccupancy occurs prior to a final inspection. project is completed without a final inspection being done. 6) Storm Water Management Plan inspection not obtained. (If Required) If any or all of these situations occur during construction, you may forfeit your deposit. I hereby agree to the above conditions, and understand that should any or all of the above situations occur, the building permit deposit SHALL be forfeited or discounted upon the discretion of the City . of Blair, Building and Inspections Department. n4 L�-- '4- ntractor w Contractor/Owner -7�'N CI ate_2,1— 7 City of Blair RECEIVED OF: a g ADDRESS vy fy CITY; STATE, ZIP CODE, p THANK YOU KE NO '' � 0 U 4 AECEIVE Pounds Printing, Blair., NE 68008`: 'br 6ise of BUILDING PERMIT SUPPORTING DOCUMENTS This building permit packet includes various items dealing with particular code requirements and/or building permit requirements. It in no way includes ALL particular code items. Also, it is your responsibility to know the 2009 International Building Code requirements that apply to your project. Please understand this packet is only designed and distributed to aid you in your building permit process. A copy of the International Building Code is available for your use at the Blair Public Library. I have read the above disclosure and accept this building permit documentation on my own behalf assuming full responsibility as the owner/contractor for this project. wner/Occup t City of Blair Contractor Date 1=1 218 South 16th Street • Blair, Nebraska 68008 • 402-426-4191 • Fax 402-426-4195 • E-mail cflyofblair@cl,bialr.ne.us oW ..