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Signature Pages.tifF a eau 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� efundable deposit is being collected for any residential remodel, or accessory building valued under $10,000. A $50.00 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. } permits have not been obtained. A required inspections have not been obtained. Occupancy occurs prior to a final inspection. 4Ormproject is completed without a final inspection being done. 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. Contractor/Owner Contractor/Owner 1 Date City of Blair CITY OF BLAIR, NEBRASKA Phone 402-426-4191 RECEI VED OR ADDRESS j W ct k q CITY, STATE, ZIP CODE . THANKYOU KEEP THIS COPY FOR YOUR RECORDS. NO ` 6k ,mr RECEII7EDBY �} .Pounds Printing, Blair, NE 68008 ,