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BP4749n, u TYPE OF INSPECTION ROUGH FINAL AMOUNT DUE DATE PAID SUB -CONTRACTORS 'emporary Service ootingq I A i71fn ma I �^ ermanent Service lumbingiS-II - ,�a4P24 — lectrlcal 1101, lasting 1x.00 3S -Y/ Ru53 Cleu �7 ,ir Conditioning optic/p-ewe-F> Inspection la•TrldVater Inspection qp In ewer Tap - Vater Tap emote final Inspection OMMENTS: build a new home DATE 10/15/ (�PPLICATION NO.: 4550 LO/16/ (PERMIT NO.: 4749 AME: Warrick. Const./Sandra Hahlbeck AMOUNT PAID: 46000--.01l0 60.00 #84471 ADDRESS; LOCATION: Lot 15, Blk 12, Larsen Hgts. /yorf-j,-, CITY INSPECTION SLIPS (�M,S/ /� �j Inspection has been requested for %V . 1 - Athli 'v l Location of Building Name of Company � On h / CJ— / ( "S�— (Type of Inspection) At 5/- -9/ - i - - Date Tim Acolswar Results of the inspection ar 4 IJ"K1 P City Representative CITY INSPECTION SLIPS S Inspection has been requested for limy/- Q (, - /l LOCatiD of Building �y 1 By c/ T WCC /t�GUU \ / U -3 L/ /iJ` 2 S S/ Name of Company On+�ILCLm t.r`Lq .•{lQ.v>i �10I/rL._ - P/h�C. 4 Oec- (Type of Inspection) At 2-14 1� I (r102n Date Time Results of the inspection are: Q1< 1� City Representative CHECK LIST FOR ISSUING RESIDENTIAL BUILDING PERMITS Site 1. Zoning vv� Flood Plain: Yes No Vf 2. Permitted Use �a 3. Special Use Special Use Permit Issued 4. Location on Lot (Setbacks) Building Plans a ,1 1. Floor Plan a. Room Sizes b. Emergency Egress 2. Foundation Plan 3. Framing Plan a. Cross Sections b. Stairs 4. Elevations and Grading 5. Electrical 6. Mechanical 7. `Plumbing a. Front Yd. Required 2 J� Shown ✓ � b. Rear Yd. Required Shown ? 3 C. Side Yd. Required ? Shown 5. 6. Variance Required: YES Lot Area Required _ ?__c o NO Actual:_ 7. Lot Coverage Allowed Actual G. 9. Other Structures on Lot `" Adjacent Lot Utilities i,- Building Plans a ,1 1. Floor Plan a. Room Sizes b. Emergency Egress 2. Foundation Plan 3. Framing Plan a. Cross Sections b. Stairs 4. Elevations and Grading 5. Electrical 6. Mechanical 7. `Plumbing CITY OF BLAIR, NEBRASKA CITY CLERK'S OFFICE Phone 426.4191 Acct. No. Dale 19 Received of: Address _i✓ L/ Ll 0 CI -ILD( G: 6.00 CHANUL $U.UU Thank You Please keep this Copy r r referaoce. No. 8.668 Rec'd by e40364 wwr; c.K. - {7,, 210, FkA-f - Lrma Eng -- �2�rn� i- #ZIq r #ZZd 11 $�- 2.24 u CITY OF SLAIR, NEBRASKA Phone 402-426-4191 RECEIVED OF: RulSs �c11�Y1nt'_l J�Q ADDRESS+ CITY, STATE, ZIP CODE 0:3/05/91 4.19F'i'i 0001-li569 0 1-10 $40.00 h0000000000042022 1-10 1'48.00 00000000000042022 CHECK' 88.00 Ca��cr e Cq. — `L3-7 ( r l f c- C / �0C) f Fluhl b-ecK - Tee (019"auk - Lc>< l3, THANK YOU KEEP THIS COPY FOR YOUR RECORDS. -�796 RECEIVED BY EMANusL PRINTING. FREMONT. N[ ..G10 -- -pk," j -0 Z cd I CITY OF BLAIR, NEBRASKA CITY CLERK'S OFFICE Phone 426.4191 f be cl"\ , /(A-ts-e-JA t--, 72 7 �� 0 0 �i NOTE: FOR LOAN PURPOSES ONLY. Lo -r l2 La?-sC4) -7-o C17 - t' SLA -1l2 OFBQ. (,O;� 00007-U WARRICK CONSTRUCTION