BP7709~__
6. Total Sq. Footage (IROlfiding Basement and Garage}; Total FInlShed Area:
r'`~
7. Valuation of Work: $
Floodway O Yes O No Dev. Permit
Elev
Cert.
FIOOdplain:
8
O
O .
.
No BFE
Fringe
Yes
9. Current Zoning: ®Site Plan Attached ~
` mplete Plans Attached
f,~ So
~
Approximate Completion Date ~
~
f
10. State Fire Marshall Required: ®Yes ®No
Inspections Required and Fees
11. Special Use Permit Required: ®Yes ®No Utilities
12. Variance Required: ®Yes ®No Sewer Water Service
13. Minimum Setbacks: Front Side Rear
Septic
Remote
14. Sidewalk Required: ®Yes ®No Waiver Approved Stop Box Card
13uildina
~~~~ Footings Drywall
Separate permits are required for electrical, plumbing, heating, ventilating and air (before finish)
conditioning, and septic systems. By mysignature below, I acknowledge that payment ,~~ .~i .~
of the building permit application fee does not constitute issuance of this building Framing Final
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 bythe Building Electrical
Inspector.
I hereby agree to perform the proposed work in accordance with the specifications set Rough-in Fixtures
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 workis not commencedwithin Final Permanent Service
180 days or s not com Igeted within 2 years of date of issue. Temporary Service
s ~
Mechanical
SIGNATU E OF OWNER/CONTRACTOR DATE Rough-in A\C
Final
Comment:
Plumbin
Ground Work
Rou -rn Final
,PERLY VALID TED (IN THIS SPACE) THIS IS YOUR PERMIT
POUNDS PRTG.-Blair, NE ~ ~~ Rev. 6/96
.,; , ~LTI I IlvS E CTI EP T
• '~, CITY OF BIrAIR ^ WASHINGTON COUNTY ^ OTHER
LOCATION OF INSPECTION: ~ ~ ~~~'~'~Ar ~ %~
-NAME OF OWNER '=~~~~,~r~ CONTRACTOR: `'°''`~`" -'r
DATE INSPECTIONREQUESTED: ~..% '~~ ~ ~ PERMITNO: ~-~ ~'-~~ ''r
'' TIME INSPECTION REQUESTED: t~~~_
,i
TYPE OF INSPECTION REQUESTED:
BUILDING: ~ ,i r'~ ~~
.%~ .o ~ ti~;7_
^ FOOTING ^ FRAMING ^ DRYWALL ~`F1NAL ' 1
UTILITIES:
^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP
^ REMOTE ^ WATER SERVICE
~~ ~ ELECTRICAL:
^ ROUGH IN ^ FIXTURES ^ FINAL ^ MOTORS
^ PERMANINT SERVICE ^ TEMPORARY SERVICE
MECHAMCAL:
^ ROUGH-IN ^ A/C ^ FINAL
PLUMBING:
~i ^ GROUNDWORK ^ ROUGH-IN ^ FINAL
RESULTS OF THE INSPECTION -- ASSED (sue xo~rEs~ ^ FAILED (sue xo~rFS~
NOTES/REMARKS:
r
~.. ~"';
~: '`~
INSPECTOR ~~~ -i ,~ ~1~~iy ,; ' ~g r'~ ~. •~
DATE OF INSPECTION MADE: ~-'~ ,'~ ~ ~ ~`` TIME: =6+'
~ CALLED OPPD\ TO CONNECT SERVICE:
i ^ YES ^ NO ~-.:.
' ~ WANT OFFICE STAFF TO CALL OPPD\ ^ YES ^ NO BtR 1
a
i .