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Signature PagePromises BUILDING PERMIT DEPOSIT AGREEMENT 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 th&time of your building permit application. A $200.00 refundable deposit is being collected for any residential remodel, addition 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. 2) All permits have not been obtained. 3)'AII required inspections have notbeen obtained. ` 4 Occupancy occurs prior to a final inspection. '5) The project is completed without a final inspection being done. --" 6) W-9 is not filled out for return of deposit 7) Storm 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 Date City of Blair 1) Building Plans 2) Site Plan 3) ResCheck - S SO it Address -5 Permit r N p, New Construction Checkoff List Date Received Initials Date Approved 4) Water/Sewer Connection Fees (Additional fees apply) 5)- Given to Zoning 6) Zoning Approved. 7) Site Plan Approved 8) Flood Plan Checked 9) Given to Building Inspector �S