BP7184USE OF BUILDING
g, Valuation of Work: $ ;~' ;~`~~~"~E Cat ~- % ~? ~~ , ~~
10 Floodplain: Floodway Yes ^ ND ^ Dev. Permit Elev. Cert.
fringe Yes^ No ^ BFE
11. Current Zoning: Site Plan Attached Complete Plans Attached ^
12. State Fire Marshall Required: Yes ^ No^ Approximate Co ple ion Date
Inspections 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
`
APP TION A CEPTED BY PLANS CHECKED BY OVEDaFOR ISSU F r ' Footings Drywall
f,~ , ,.. C~ ~'~,,.~; (before fini~;x ~ ,~ ~ _ -( ry .~
`~ NOTICE
( Framing Final ~~ ~'~"'~`'
permits are required for electrical, plumbing, heating, ventilating and air condi-
Separat '
tinning, and septic systems. By my signature below, I acknowledge that payment of the
Electrical
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 receivedacopyofthisapplicationformsignedbytheBuildinglnspectorandstamped Rough-in Permanent Service
'APPROVED'.
hereby agree to perform the proposed work in accordance with the specifications set forth Final Tem ora Service
p ry
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,
uance, or'f work is abandoned for six (6)
is of completed within 2 years of the date of i s Mechanical
mo the or Ion er, whichever is earliest.
g ~~ ~° ~- Rough-in A C
1
Si NATURE OF OWNER~CONTRACTOR OR AUTHORIZED AGENT DATE Final
Plumbing
Ground Work
SIGNATURE OF OWNER (IF OWNER BUILDER) DATE Rough-in Final
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS YOUR PERMIT
Comment: Approved By:
POUNDS PRTC,: Blelr, NE Rev. 08/85
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