BP7821~UILDINC~ PERMIT ~-PPLI
Permit Fee: , C~C'~ Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Issuance Fee: ~~ Blair, Nebraska 68008
Deposit Receipt #: (402) 426-4191 • Fax (402) 426-4195
Permit
7821
Application Date: ~ ' ~ r ~ ~ Issue Date: ~] ` ~~~~
JOB ADDRESS Q ./7 ~ ~x ~p'
`CI
LEGAL
1. DESCR. LOT NO...
I L l ~ BLK. TRACT
~ - ~ ~ ~ l / ^ SEE ATTACHED SHEET
OWNER
2. ` ~ ~ - l I ~ MAILADDRESS ZIP PHONE
U U vU
f~ 1 ~,~ ,, {, ~, / /
3. CONTRA T~ ~ ~ ~ U ~ ~ IL A~ RES~~~,~ C/ ~ ~/u 1 1 ZI(/'~ lS/'~ l0 l ~~ PHZ :SS
4. Class of Work: NEW O ADDITION O REMODEL
5. Describe Work: ~~ f ~ ~ ~ e~ 7~/V ~ O Finished Basement O Unfinished Basement
Y 1~
6. Total Sq. Footage (IRCIudiRg Basement and Garage): Total Finished Area:
7. Valuation of Work: $ p~ ~(~Q
Floodway O Yes O No Dev. Permil
8. Floodplain: Fringe O Yes O No BFE Elev. Cert.
9. Current Zoning:
10. State Fire Marshall Required: O Yes O No
11. Special Use Permit Required: O Yes O No
12. Variance Required: O Yes O No
13. Minimum Setbacks: Front Side Rear
14. Sidewalk Required: O Yes O No Waiver Approved
O Site Plan Attached ~ Comp to Plans Attached
Approximate Completion Date / ~~` 7
Inspections Required and Fees
Utilities
Sewer_
Septic _
Buildina
Footings
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.
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 is not completed withinr2 years of date of ' sue.
Comment:
OF OWNER/CONTRACTOR
DATE
Framing
Electrical
Rough-in
Final
Temporary Service
Mechanical
Rough-in _
Final
Plumbin .
Ground Work
Rough-in _
Water Service
Remote
Stop Box Card
Drywall
(before finish)
Final ~~~ Y~~
Fixtures
Permanent Service
A\C
Final
WHEN PROPERLY VALIDATE
Approved By; ~r
C~T1~IV
THIS SPACE) THIS IS YOUR PERMIT
POUNDS PRTG: Blair, NE ~ Rev. 8196
i \
I ~,, ~ 'u.
N~d~
~ ~ ~ ~~v
Q ~ .y, i:~ (~J u ~~
~, ~ \ ~\~ ~~~ ~ Nat
C~ ~ ~ ~
o ~ ^ ~ F ~` ~ ~ ~ ~~ ~
!v ^~n ~.~~ ~ `~ o o~33J ~
~ ~ .~~ o
w ~ ~
~ h7 N.~~ ~ ~ ~ ~ ~ ~ a y
z ~ Vl ~ ~ ~ ~ ~ ~ ~ ~' a o.
~ Zi ~.° V o ti w O a
~ ^ ° ~~ ~ a ~ U ~ ~ w O
} 7
I+'I O ~ ~ N y cc U O U U _L U _Z O
O ~ ~ W A p ~. ~ ~ O x O ~ .F"]
v ~ ~ a '~ tc ~ `~' W a a V a ~ U a
s x a ~ ~ m ^ ~ ^ ^ w ^ ^ ~ ^ a ^ ~
~{' o
~
U
W ^ ~
~
~ i \a
\U
a
,
'z r
o
v
°
`U ~
~~"J
+
H cE7 ~~
r
k
v
~Z-I
A ~
3 0
^ ~ ` ~
_ ~
\ ~
~
~
,; ~
~
~ ~
o ~ `~
M
1+1
I
1 w
O ~
. U
^
-a° O
O ~j
z o cw.
~
~
`
~~~a ~ ~ o
3 ° 5
~ ^ ,
~
^ ~
~
~ yp~ ~
D A y ~ [y
z a ~ ~ v
^ o o ^ ~ o
G ' ~ E'
e
_z,
Z
O F
O y
F E
~ w
O ~
~ ~
~ ~
~ ~
U
Z
~ _
~ ~ ~ m
0 a
~ ti
^ o ~ a_ .
Q ~
^
W ~ ^
~ - ~
G ``~.'` ' ~
I
1, H
rryrI~,, 1 1
a0
F
~ ~
~ ~ W
O ~+
f.1
~~ ~ ~
~ ~
.7
a <
F
N
Ems.,
W J
\ /~
~ I'~
..]
E-H ^~ ~g '' ~ / a ~ s ~ ~ --~
I a ~, ~ rr~
H ~~ ~ ci ° "' ~ ~ ~ ~ ~
s' ~ p U
I A
I a
~~~
i ~ a
~~
~
z
OO+
[a~i
~
O
~
~
U
^ y~
W
X31
~ ^
^
w
~
^
i ~'!1 yz
O V~O ~O uyy"S r"
~~
yV ~- ZU' A ttW~~ ([F~! F !V~ ~ ~ U ~ U
~ - v c~ g
s ~'
o y
~ a ~
.°a u°. a
~ ~. ti °~ cEi °a a u a° ~ ~
~
z ~ ^ ~ ^ o W ^ ^ ~ ^ 4 ^
~ o
o ~
z
a ~
~ ~
. o
o
h
U O
^ ~ °z
~.
I
1
0
O
a
0
¢i
m
i,
°z z°I
^ ^!
z z~ .
^ ^1
^ ^;
U
0
o i
-,
w
F i
d U
o ~
~ O
i
~.l
3
~.~
mI
°z °z~
^ ^ -!
i~ ~.
^ ^
~ w
5
~ ~ ..:
~ ''
o
o' S ~
a
o:
U '
~ 4 .~
~rOr - r"y 1i
y/ G y {
R S
a U
m o lI
O w O '!
~ ~. ~
a ~ 3