BP7649'The i lair uildira rmit tail
Pernnit : 7649 Issued: 04/29/1997
Completed: 05/0$/1997
®wner: Kris Robinson
Address; 231 ~. 14th Street
Type: Fences - A11 types
Valuation: $500.00
Range:
Lot:
Final Inspection of Project
Permit Fee: $15,00
Issue Fee:
®epasit Amt.:
Receipt #:
lock:
Pass
emarles
Contractors
SELF
General Contractor
Permit Issued
~~ Jurisdiction of City of Blair, Nebraska
Permit Fee: ~~~ 218 South 16th Street
Issuance Fee: Blair, Nebraska 68008
Dep®sit Receipt #: (402) 426-4191 ®Fax (402) 426-4195 Permit
` ~ ~ ~ ~.
,4pplication Date: / Issue Date: ~
6. Total Sq. Footage (Including Basement and Garage): Total FInlShed Area:
C>
7. Valuation of Work: $ ~ ~
Floodway O Yes O No Dev. Permit
8. FIOOdplain: Fringe O Yes O No eFE Elev. Cert.
9. Current Zoning: O Site Plan Atiached ~~ Complete Plans Attached
Approximate Completion Date e
10. State Fire Marshall Required: ®Yes ®No
Inspections Required and Fees
11. Special Use Permit Required: O Yes O No Utilities
12. Variance Required: ®Yes ®No Sewer Water Service
Septic Remote
13. Minimum Setbacks: Front Side Rear
14. Sidewalk Required: O Yes ®No Waiver Approved Stop Box Card
N®TICE
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 of completed within ars of date of issue.
POUNDS PRTG.-Blair, NE
Buildina
Footings
Fixtures
Permanent Service
PERMIT
Rev. e/96
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