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BP5445r~UI'I.~Ii~1G PE~?~VIIT APPLICATION Jurisdiction of Citvnf Blair, Nebraska 218 Si,rrtth 16th Street Blair, Nebraska 68008 5 4 4 5 (402) 426-4191 Permit ~~ ~~~' %~ Permit fee: $ ~~ Application Date: ~ J ~ C(~~1~ Issue Date: JOB ADDRESS ~-l01 m~c~c.~~~ .~~~ Cll-o~l~~r. LEGAL 1 ' DESCR. LOT N0. ~ BLK. TRACT - ,~ )'~ ~, G Q SEE ATTACHED SHEET 2. OWNER MAIL ADDRESS ZIP PHONE 3. CONTRAC OR ~ MAILADDRESS PHONE LICENSE NO. USE OF BUILDING 4. 5. Class of Work: ~ EW ^ ADDITION ^ ALTERATION ^ REPAIR ^ MOVE ^ REMOVE 6. Describe Work: ~) ~~ 7. Sq. Footage of Structure (IRCIBaiRg BasemaRt and Garaga): $. Change of Use From: Change of Use To: o~ g, Valuation of Work: $ ~ (~ Floodway Yes^ No [~' Dev.Permit 10. Floodplain: Fringe Yes^ No ^~ BFE EIev.Cen. 11. Current Zoning: ~ ~ 12. State Fire Marshall Required: Yes ^ No[~ 13. Special Use Permit Required: Yes ^ No [~ 14. Variance Required: Yes ^ No [~ 15. Minimum Setbacks: FrontSide ~ Rear 16. Sidewalk Required: Yes No ^ Waiver Approved _ APPLICATION ACCEPTED BY I PLANS CHECKED BY I APPR9JI,ED,FOR ISSUANCE BY I 'U NOTICE Separate permits are required for electrical, plumbing, heating, ventilating and air condi- tioning, and septic systems. By my signature below, I acknowledge that payment of the building permit application fee does not constitute issuance of this building permit. I further agree that construction covered by this permit application shall not be commenced until I have received a copy of this application form signed by the Building Inspector and stamped 'APPROVED'. I hereby agree to perform the proposed work in accordance with the specifications set forth above and in accordance with the codesJordinances of the City of Blair and the State of Nebraska. I understand that this permit is void if work is not commenced within 180 days or is not completed within 2 years of date of issue. SIGNATURE OF OWNER~CONTRACTOR OR AUTHORIZED AGENT DATE y 7-1 - 43 SIGNATURE 0 R (IF OWNER BUILDER) DATE Site Plan Attached ~~ Complete Plans Attached ^ Approximate Completion Date i ~ 1 ~ ~l Inspections Required and Fees y~a~i~~-'c-~~tiliti~ater Ta ~ Sewer Tap p Sewer' "`~~ ~"!U y~ Water Service r-/ J"y~(r~~2rVilUi~ Septic ~G~rd. Building Remote Footings/ .Drywall V (before finish) Framing" Final +~ Electrical Rough-in /-~.~,~~ - ~,- Ck~ Fixtures Final4/ ~ ~-~J:--r ~- ~- ~~~ ~ permanent Service Temporary Service ~II Me hanical Rough-in U~ S z/•- ABC / ~ ~~-SVc~' Final ,f ~ Plumbing Ground Work'~~ Z~"'`'r V~ Rough-in /l'1/~~i'rlNr~i~~:"' fTina) ~ r~/a,~~~ WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Comment:~~, [~~L P.L ~Z -Po ~ Approv d~By~ POUNDS PRTO: Bletr, NE ner. ~v,e. i -C .~ .~ :' .~ i :~ w ' ac I- _. ~~! ,'; ,_ •. " -I ~, .~ ~. ~~~ '< ~f_ 5. p©' O O 0 N ~`M~ADOW (JRIV~.'. PLOT PL~4N, ScALL~ I = 2Q, oo _~1As~11M~TOt~4 ra~N-r`f , N~P~RASKA ~. ~ ~ BUILDING PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 5 4 7 4 (402) 426-4191 Permit c~ ~~ Q~ Issue Date: I "~\ Application Date: / ~ '~G ~ ~ Permit Fee: $ JOB ADDRESS LEGAL 1 • DESCR. LOT NO. BLK. TRA _ ~~ SEE ATTACHED SHEET 2. OWNER MAILADDRESS ZIP PHONE 3 CONT M LADDRESS PHONE t LICEN NO. 4. USE OF UILDING _ ~d ~ ~r~ 5. Class of Work: ^ NEW ^ ADDITION ^ ALTERATION ^ REPAIR ^ MOVE ^ REMOVE 6. Describe Work: - ~.• 7. Sq. Footage of Structure (loclud gBesementaodcerege): $. Change of Use From: Change of Use To: g, Valuation of Work: $ Floodwey Yes ^ 10 Floodplain: No ^ Dev. Permit EIev Cert . Fringe Yes^ . . No ^ BFE 11. Current Zoning: 12. State Fire Marshall Required: Yes ^ No^ 13. Special Use Permit Required: Yes ^ No ^ 14. Variance Required: Yes^ No^ 15. Minimum Setbacks: Front Side Rear 16. Sidewalk Required: Yes ^ No ^ Waiver Approved _ A P CATION A~ E~~~~ I PLANS CHECKED BY I APPROVED FOR ISSUANCE BY I NOTICE Separate permits are required for electrical, plumbing, heating, ventilating and air condi- tioning, and septic systems. By my signature below, I achnowledge that payment of the building permit application fee does not constitute issuance of this building permit. I further agree that construction covered by this permit application shall not be commenced until I have received a copy of this application form signed by the Building Inspector and stamped 'APPROVED'. I hereby agree 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. I unders nd that this permit'svoid if work is not commenced within 180 days or is not compl with' ears o ate of.is '~ ~ S TUR OF 0 NE CON ACTOR OR AU RIZED AGENT DATE Site Plan Attached ^ Complete Plans Attached ^ Approximate Completion Date Inspections Required and Fees Utilities Sewer Tap • ~:~ Water Tap Sewer / ~a ~~ G Water Service/ ~d ~-~ Septic Remote Building Footings Drywall (be}ore finish) Framing Final Electrical Rough-in Fixtures Final Permanent Service Temporary Service Mechanical Rough-in ABC Final Plumbing Ground Work a ~p SIGNATURE OF OWNER (IF OWNER BUILDER) DATE Rough-in ~ ~ ~ Final ~ ~ WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Comment: Appro d ~~ n ~~ ` ~ BUILDING PEf~M1,T APPLICATION Jurisdiction of~City of Blailr, Nebraska 218 South 16th Street Blair, Nebraska 68008 5 6 6 3 (402) 426-4191 Permit Application Date: 1~- ~ ~ Issue Date: Permit Fee: $ / ~ ~~~ JOB ADDRESS U ~ ~~ QCl ~~~ ~r~ 111 v~ LEGAL 1 ' DESCR. LOT N0. BLK. TRACT ^ SEE ATTACHED SHEET 2. OWNER ~ `~ ~ ~C MAILADDRESS Zlp PHONE r3. CONTRACTOR ~~~~ ~ ~~ / . C MAIL ADDRES` C/ ~ / 1 ~ PHONE LICENSE N0. / USE OF BUILDING 4. 5. Class of Work: [NEW ^ ADDITION ^ALTERATION ^ REPAIR ^ MOVE ^ REMOVE 6. Describe Work ~~~C~,., ~ , _ ~l~u v~ ], Sq. Footage Of StfUCtUre (Including Basement and Garage): 8, Change of Use From: Change of Use To: g, Valuation of Work: $ Floodway Yes^ No ^ Dev.Permit 10 Floodplain: Fringe Yes^ No ^ BFE EIev.Cert. 11. Current Zoning: 12. State Fire Marshall Required: Yes ^ No^ 13. Special Use Permit Required: Yes ^ No ^ 14. Variance Required: Yes^ No^ 15. Minimum Setbacks: Front Side Rear 16. Sidewalk Required: Yes ^ No ^ Waiver Approved _ BY I PLANS CHECKED BY I APPROVED FOR ISSUANCE BY ~ NOTICE Separate permits are required for electrical, plumbing, heating, ventilating and air condi- tioning, and septic systems. By my signature below, I achnowledge that payment of the building permitapplication fee does not constitute issuance of this building permit. I further agree that construction covered by this permit application shall not be commenced until I have received acopyof this application form signed bythe Building Inspector and stamped 'APPROVED'. I hereby agree 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. I understand that this permit is void if work is not commenced within 180 days or' not completed within 2 years of date of i sue. ~,ti~ ~~~ ~- ~ ~ ~'~ SIGNAJ, EOFOWNERfCONTRACT,fj OR AUTHORIZED AGENT DATE Site Plan Attached ^ Complete Plans Attached ^ Approximate Completion Date Inspections Required and Fees Utilities Sewer Tap Water Tap Sewer Septic Water Service Remote Building Footings Drywall (before finish) Framing Final Electrical Rough-in ~ C~ .~ ~~~~-- Fixtures Final ~ ~ ~ ~~ Permanent Service Temporary Service Rough-in Final - Ground Work SIGNATURE OF OWNER (IF OWNER BUILDER) DATE Rough-in WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS Comment: Approved By: ~ Mechanical ABC _ Plumbing Final , R PERMIT POUNDS PRTG: Blelr, NE // Rev. 10x91 r BUILDING PfR=MIT APPLICATIO`iV Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 5 6 6 7 (402) 426-4191 Permit Application Date: !~' ~~ ~C/3 Issue Date: Ob Permit Fee: $ ~ J JOB ADDRESS a~~~ LEGAL 1 ' DESCR. LOT NO. ~ BLK. TRACT ^ SEE ATTACHED SHEET 2., OWNER .- MAILADDRESS~ ZIP PHONE 3 CONTRACTOR AILADDRESS PI{ON~ a~ ~~ LICENSE NO. i'7!", 4. USE OF BUILDING 5. Class of Work: ^ NEW ^ ADDITION ^ALTERATION ^ REPAIR ^ MOVE ^ REMOVE 6. Describe Work: 7, Sq. Footage of Structure (Ina~ding Basement and Garage): 8, Change of Use From: Change of Use To: g, Valuation of Work: $ Floodway Yes^ No ^ Dev.Permit 10. Floodplain: Fringe Yes^ No ^ BFE EIev.Cert. 11. Current Zoning: 12. State Fire Marshall Required: Yes ^ No^ 13. Special Use Permit Required: Yes ^ No ^ 14. Variance Required: Yes ^ No ^ 15. Minimum Setbacks: Front Side Rear 16. Sidewalk Required: Yes^ No ^ Waiver Approved _ Site Plan Attached ^ Complete Plans Attached ^ Approximate Completion Date Inspections Required and Fees Utilities Sewer Tap Water Tap Sewer Water Service Septic APPLICATION ACCEPTED 8Y I PLANS CHECKED BY I APPROVED FOR ISSUANCE BY ' NOTICE Separate permits are required for electrical, plumbing, heating, ventilating and air condi- tioning, and septic systems. By my signature below, I achnowledge that payment of the building permit application fee does notconstitute issuance of this building permit. I further agree that construction covered by this permit application.shall not be commenced until I have received a copy of this application form signed bythe Building Inspector and stamped 'APPROVED'. I hereby agree to perform the proposed work in accordance with the specifications set forth ove and in acxordance with the codes~ordinances of the City of Blair and the State of Ne raska. I understand that this permit is void if work is not commenced within 180 days nor i not corpplgbec{}ivithin 2 years of date of issue. OF OWNERICON'~RACTOR OR AUTHORIZED AGENT DATE Remote Building Footings Drywall - (beforefinish) Framing Final - Electrical Rough-in Fixtures Final Permanent Service Temporary Service p° Mechanical ®~ ~ ~~S ~ Rough-in ABC Final ~~,o ~ Ground Work `~'`- Plumbing SIGNATURE OF OWNER (IF OWNER BUILDER) DATE Rough-in ~ ~~° Final WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Comment: Approved By: ~~ .~- POUNDS PRTG: BIaIr, NE Rev. 10/91 ~~ f ~ BI~ILD~ING PERMIT APPLICATIO., Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 7 6 (402) 426-4191 Permit Application Date: ~ ~oZ 5 ~ ~~ Issue Date: Perp~{t Fee: 'I a JOB ADDRESS ~^ ^ ~~L7 ~ / r ~~ ~~~~ 1. LEGAL LOT NO. ~ BLK. TRA ~ ~ ~ ° ~~ ^ SE ATTACHED S ET ~~~/ DESCR. ~ G ~ %l 2. OWNER MAIL ADDRESS Zlp PHONE ~~e 3. CONTRACTOR MAILADDRESS PHONE LICENSE NO. USE OF BUILDING 4. 5. Class of Work: ^ NEW ^ ADDITION ^ALTERATION ^ REPAIR ^ MOVE ^ REMOVE 6. Describe Work: ]. Sq. Footage Of StrUCtUre (Including Basement and Garage): 8, Change of Use From: Change of Use To: g, Valuation of Work: $ 10. Floodplain: FI°°away Yes ^ No ^ Dev. Permit Elev Cert . . Fringe Yes^ No ^ BFE 11. Current Zoning: 12. State Fire Marshall Required: Yes ^ No^ 13. Special Use Permit Required: Yes ^ No ^ 14. Variance Required: Yes ^ No ^ 15. Minimum Setbacks: Front Side Rear 16. Sidewalk Required: Yes^ No ^ Waiver Approved _ APPLICATION ACCEPTED BY I PLANS CHECKED BY I APPROVED FOR ISSUANCE BY NOTICE Separate permits are required for electrical, plumbing, heating, ventilating and air condi- tioning, and septic systems. By my signature below, I achnowledge that payment of the building permit application fee does not constitute issuance of this building permit. I further agree that construction covered by this permit application shall not be commenced until I have received acopy of this application form signed byihe Building Inspector and stamped 'APPROVED'. I hereby agree 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 raska. I understand that this permit is void if work is not commenced within 180 days or is not completed within 2 years of date of issue. OF OWNER~CONTRACY'OR OR AUTHORIZED AGENT DATE SIGNATURE OF OWNER (IF OWNER BUILDER) Final Permanent Service Temporary Service Framing Final - Electrical Rough-in Fixtures Building Footings Drywall - (beforefinish) Site Plan Attached ^ Complete Plans Attached ^ Approximate Completion Date Inspections Required and Fees Utilities Sewer Tap Water Tap Sewer Water Service Septic Remote Mechanical Rough-in /o7roo ABC ~OfO ~ Final (o:ov %'j2~.,~~,~t.,u~-~'~ ~` Plumbing ~ ~~ ~~ Ground Work Rough-in Final DATE WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Comment: Approved By: POUNDS PRTG: Blelr, NE Rev. 10/B1 CITY INSPECTION SLIPS Inspection has been requested for ~ 7(~ ~ ~C~CLCY~~ ~J/'. ~( U~~ ~1~~~/~G~L.Y~`G~ Location of Building 2`~~- By ~l'Gi~{'~'y~~~~is Name of Company Type of Inspection at f~ /U-~~ /I/~~. Date Time Results of the Inspection are: (/ v\ City Representative BUILDING PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 6 4 9 4 (402) 426-4191 Permit r ~c> A lication Date: ~~ ~-~ Issue Date: J ~ ~ ~-~- Permit Fee: $ NN JOB ADDRESS C ~ /~ ! LEGAL 1 ' DESCR. LOT NO. BLK. TRACT ^ SEE ATTACHED SHEET 2. OWNS MAIL ADDRESS ZIP Ci•S C~C~~~r-~ PHO 3 CONT (? MAILADDRESS / ~~ ~ H0~` J(.`^- ~ Z LICENSE NO. USE OF BUILDING 4. 5. Class of Work: ^ NEW ^ ADDITION ^ALTERATION ^ REPAIR ^ MOVE ^ REMOVE 6. Describe Work: ~ 7. Sq. Footage of Structure (Inclllaing BBSement ana Garege): 8. Change of Use From: Change of Use To: g, Valuation of Work: $ 1(]. FIOOdplaln: Floodway Yes^ Fringe Yes^ No ^ Dev.Permit EIev.Cert. No ^ BFE 11. Current Zoning: 12. State Fire Marshall Required: Yes ^ No^ 13. Special Use Permit Required: Yes ^ No ^ 14. Variance Required: Yes^ No^ 15. Minimum Setbacks: Front Side _ Rear_ 16. Sidewalk Required: Yes^ No ^ Waiver Approved Site Plan Attached ^ Complete Plans Attached ^ Approximate Completion Date Inspections Required and Fees Utilities Sewer Tap Water Tap Sewer Water Service Septic Remote - Building ACCEPTED BY I PLANS CHECKED BY I APPROVED FOR ISSUANCE BY NOTICE Separate permits are required for electrical, plumbing, heating, ventilating and air condi- tioning, and septic systems. By my signature below, I achnowledge that payment of the building permit application fee does not constitute issuance of this building permit. I further agree that construction covered by this permit application shall not be commenced until I have received acopy of this application form signed bythe Building Inspector and stamped 'APPROVED'. I hereby agree to perform the proposed workin accordance with the specifications setforth above and in accordance with the codes/ordinances of the City of Blair and the State of Nebraska. I understand that this permit is void if work is n t commenced within 1(30 days not pleted within 2 year to of issue SIGNATURE OF 0 R~CONTRACTOR OR AUTHORIZED AGENT DATE Footings Framing Drywall (before finish) Final Electrical ~~ ~n Rough-in Gf> Fixtures Final ~ Permanent Service Temporary Service Mechanical Rough-in ABC _ Final Plumbing Ground Work I SIGNATURE OF OWNER (IF OWNER BUILDER) DATE I Rough-in Final WHEN PROPERLY VALIDATED (IN THIS SP, CEO) THIS IS YOUR PERMIT Comment: Approved By: 1, POUNDS PRTG: Bletr. NE Rev. 1091 BUILDING PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 6 ~ O 8 (402) 426-41 1 Permit ~~ Application Date: ~ ~ ~~ Issue Date: ~ ~~ Permit Fee: $ . ~ d~ JOB ADDRESS LEGAL 1' DESCR. LOT NO. BLK. CT n ~(`/'r',,.,°_`~ N ~ ^ SEE ATTACHED SHEET 2 OWNE _ fi [/ ^ MAILADDRESS ZIP _f/ PHONE 3. CONTR T ~ MAI A RESS ~ ~ ~ PHONEI , /~ CENSENO/ ~a~~ USE OF BUILDING 4. 5. Class of Work: ^ NEW ^ ADDITION ^ALTERATION ^ REPAIR ^ MOVE ^ REMOVE 6. Describe Work: /~ ~ ~~ 7. Sq. FOOtage Of StrUCtUre (Including Basement an Garage): $, Change of Use From: Change of Use To: g, Valuation of Work: $ 10. FIOOdplaln: Floodway Yes ^ Fringe Yes^ No ^ No ^ Dev. Permit BFE Elev. Cert. 11. Current Zoning: 12. State Fire Marshall Required: Yes ^ No^ 13. Special Use Permit Required: Yes ^ No ^ 14. Variance Required: Yes ^ No ^ 15. Minimum Setbacks: Front Side Rear 16. Sidewalk Required: Yes^ No ^ Waiver Approved _ ICATION ACCEPTED)3Y PLANS CHECKED BY APPROVED FOR ISSUANCE BY ~~~~ ~~~~ NOTICE Separate permits are required for electrical, plumbing, heating, ventilating and air condi- tioning, and septic systems. By my signature below, I achnowledge that payment of the building permit application fee does not constitute issuance of this building permit. I further agree that construction covered by this permit application shall not be commenced until I have received a copy of this application form signed by the Building Inspector and stamped 'APPROVED'. I hereby agree to perform the proposed work in accordance with the specifications setforth above and in accordance with the codes/ordinances of the City of Blair and the State of Nebraska. I understand that this permit is void if work is not commenced within 180 days or is not corppJeted within 2 years f date of issue. ~F etJ 7't SIGNATURE OF OWNERfCONTRACTOR OR AUTHORIZED AG T DATE SIGNATURE OF OWNER (IF OWNER BUILDER) DATE Site Plan Attached ^ Complete Plans Attached ^ Approximate Completion Date Inspections Required and Fees Utilities Sewer Tap Water Tap Sewer Water Service Septic Remote Building Footings Drywall (before finish) Framing Final Electrical Rough-in Fixtures Final Permanent Service Temporary Service ~~,, Mechanical ~ c~ Rough-in ~ ABC ~ ~ Final ~ `~ ~J Plumbing Ground Work _ Rough-in -" Final WHEN PROPERLY VALIDATED (IN THIS S CPA E THIS IS YOUR PERMIT POUNDS PRTG: Bleb, NE Rev. 70/87 ~. .~ Q ~~; m N ~ J ..__ ~ z , z Q'i ~J ~ ~: C O ~~' 0 a ~ .~ ~ . ~~ ~ ~ ~ ~ ~ ...,, U ~ ~ <-.?~-~ F. ~ ~ ~ w ~~ f ~ z,~ a J U .~ , ~' a 7p~ w~ yq~ ~ rn Z ~~ O ~ L H ~ ~ ~ vwj w k; F G~4- - - P°G `P~-~ ~ ~ i ICI C7 \p~°~ ; F" ^ ^ ~ ^ ^ . ^ ^ ~ c ~ W ~ H H Or Pw4. O W ~ a r3.. ZO ~ ~ ~ ~ W ~ E-+ - F W .~..'' ~ L A ^. ..~ C:: a a z ~ 3 ~ ~ _ ~ a z ~ ~ ~ ov' z o ~ a ~ o ~ ~ o ° ~ . ~ ~ ~ z ~.. ° o ~ ° u +. a o ~ o x o x -~ w ~ F „~U C~j ~ E-~ ayW.,, ~ u, ~-1 v? W oG a W e~: ~ C5 r~~ ~ ~ Q ~ a ,_..~ .. ~. . ~ t ^ ~ a ~) N , rC7: z~~F ~. .~ ~ a ~ o ~ ~ ~4~. ~~ o ~ ~ I, ~ ^ ~ ° ~..e ~ . 3 s ~ ~a/~ o ~~~.~ ~ ~ ~ ~ J_ U ~ ' 'g z ~ ~' F a x o c~i ~; i H i~ ~~ o o ° ,' F. ~~; .a ,,~ ~, ~ +r..~ ~ ~ ~ wa as w ~ ia~ . ~ .a;.' y~ 3 E.. f