BP70996. Describe Work: /1 s ,®-
7. Sq. FOOtage Of StrUCtUre (Including Basement and G~3f'age):
$, Change of Use From: Change of Use To:
g, Valuation of Work: $ ~ ~®
10. Floodplain: Flooaway Yes ^ No ^ Dev. Permit
^ Elev. Cert.
Fringe Yes
No ^ BFE
11. Current Zoning: Site Plan Attached ^ Compl Plans~ttac ed ^
s No
12. State Flre Marshall Required. Ye ^ ^ Approximate Completion Date ~~
Inspect )®ns Required and Fees
13. Special Use Permit Required: Yes ^ No ^ utilities
Sewer Tap Water Tap
14. Variance Required: Yes ® No ® Sewer Water Service
15. Minimum Setbacks: Front Side Rear septic Remote
16. Sidewalk Required: Yes^ No ^ Waiver Approved Building
AP ATION ACCEPTE[ABY PLANS CHECKED BY APPROVED FOR ISSUANCE BY Footings Drywall
(before finish)
~
tf
NOTICE Framing Final ~
-
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
Electeical
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 receivedacopyofthisapplicationformsignedbytheBuildinglnspectorandstamped Rough•in Permanent Service
'APPROVED'.
Iherebyagreetoperformtheproposedworkinaccordancewiththespecificationssetforth Final Tem ora Service
p ry
above and in accordance with the codes/ordinances of the City of Blair and the State of
Nebraska. l understand that this permit is void if work is not commenced within 180 days,
li is not completed within 2 years of the date of issuance, or if work is abandoned for six (8) Mechanical
~, months or longer, whichever is earliest. Rough-in ABC
SIGNATURE OFOWNER/C N RACTOR OR A ORIZED AGENT DATE Final
~,
~+ ~ ;fly 1~
Ground Work Plumbing
SIGNATURE OF OWNER (IF OWNER BUILDE DATE Rough-in Final
WHEN PROPERLY VALIDATED (IN THIS SPACE) TH S IS YOUR PERMIT
Comment: Approved By:
~ .~„ ~~,.
POUNDS PRTG: Blelr, NE Rev. OeJeS