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BP7954~~ BUILDING PERMIT APPLICATIC,N Jurisdiction of City of Blair, Nebraska Permit Fee: 218 South 16th Street r Issuance Fee: --~ L~ r D © Blair, Nebraska 68008 Deposit Receipt #: (402) 426-4191 • Fax (402) 426-4195 Application Date: ~" ~~ ~ ~ Issue Date: Permit 7954 JOB BB S c ~~ LEGAL 1. DESCR. LOT ND. BLK. TRACT ^ SEE ATTACHED SHEET 0 / ~~ 2. M I ADQRE~ ~ I' ~ ZIP PHONE ~CC// Y- CONTRAC OR E 3. MAIL ADDRESS ZIP PHONE 4. Class of Work: O N O ADDITION O REMODEL 5. Describe Work: O Finished Basement O Unfinished Basement 1 6. Total Sq. Footage (Including easement and Garage): Total Finished Area: 7. Valuation of Work: $ (f, ~~ ~> ~ ~ Floodway O Yes O No 8. FIOOdplain: Fringe O Yes O No Dev. Permit BFE Elev. Cert. 9. Current Zoning: 10. State Fire Marshall Required: O Yes 11. Special Use Permit Required: O Yes 12. Variance Required: O Yes O No O No O No 13. Minimum Setbacks: Front Side Rear 14. Sidewalk Required: O Yes O No Waiver Approved . NOTICE Separate permits are required for electrical, plumbing, heating, ventilating and air conditioning, 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. 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 thatthis permit is void if work is notcommenced within 180 days or is not completed wi hin 2 years of date of issue. OF OWNER/CDNTRACTOR DATE O Site Plan Attached O Complete Plans Attached Approximate Completion Date Inspections Required and Fees Utilities Sewer Water Service Septic Remote Stop Box Card Building Footings Drywall (before finish) Framing Final f ~'-~ ~~ Electrical Rough-in Fixtures Final Permanent Service Temporary Service Mechanical Rough-in A\C Final Plumbin _ Grountl Work Rough-in Final WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT ~».._.._J A.:. ~ s POUNDS PRTG: Blair, NE Rev. 8/98 ~. - B~~JILDII~TG:INSPECTI0N REPORT k -- v.ri 6`:- - ~'^ - - CF[~' OF BI;AIIt ^ W?;SHINGTON COUNTY ^ OTHER E ~,, ~ f~~ ~ ~~ l LOCATION OF INSPECTION: ~'~.t ~~/t .~-- 1~~~={~ ~~~- ~. ~_ NAME OF OWNER~~r -"~ ~~-~~• ~~°NTRACTOR: '~ DATE INSPECTIONREQUESTED: ~~ ~~"~~ ~ ~ PERMITNO: ~ ~~ TIME INSPECTION REQUESTED: ~i ~ ~ ' ~~ '~' ~~;.-'"`~ ~' ~~' TYPE OF INSPECTION. REQUESTED: `BUILDING: -'r `--~ -_~ 11 f ~: ^ FOOTING ^ FRAMING ^ DRYWALL' ~,LJ FINAL ___ / [.. UTILITIESr , f. ^ SEWER TAP ^ SEWER ^ SEPTIC . ^ WATER TAP t ^ REMOTE ^ WATER SERVICE ~_ ~' - ELECTRICAL: ~ - ROUGH IN ^ FIXTURES ^ FINAL ^ MOTORS i.. _ _ , f= - ^ PERMANINT SERVICE ^ TEMPORARY SERVICE t - . . (~ MECHAMCAL: Cr , f _' ^ ROUGH-W ^ A/C ^ FINAL F "PLUMBING: ^ GROUNDWORK ^ ROUGH-IN ^ FINAL ~:;' ~•;> RESULTS OFTHE INSPECTION: -. ASSED ~sEExo~rES~ ^ FAILED ~sEExo~rESj NOTES/REIvIARKS: ~' r DATE, OF INSPECTION MADE: ~~ ~ ~~ i~ ~ TIME: ~ ~ ~-~ _ - •~ ' 'CALLED OPPD1. TO CONNECT SERVICE: ^, YES ^ NO `ANT OFFICE STAFF'FO CALL OPPD\ ^ YES. , ^ NO BCR 1 - - -- e