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BP7714 Application Date: ~ ~~` ~ ~ Issue Date: -~~ ~ ~ ' 9 ~ 6. Total Sq. FOOtage (Including Basement and Garage): Total FInlShed Area: 7. Valuation of Work: $ r~a ~ , ®~ - ~ ~`~°°` ~~'~ ~ ~`~` G~~~ Floodway O Yes O No Dev. Permit Elev. Cert. Floodplain: 8 O O . No BFE Yes Fringe 9. Current Zoning: ®Site Plan Attached ®Complete Plans Attached Approximate Completion Date ~°°~ ~~ 10. State Fire Marshall Required: ®Yes O No Inspections Required and Fees i 1. Special Use Permit Required: ®Yes ®No Utilities 12. Variance Required: O Yes O No Sewer Water Service 13. Minimum Setbacks: Front Side Rear Septic Remote 14. Sidewalk Required: ®Yes ®No Waiver Approved Stop Box Card Building ~®T1~E Footings Drywall Separate permits are required for electrical, plumbing, heating, ventilating and air (before finish) conditioning, and septicsystems. By mysignature below, I acknowledge that payment ~ ~ ~- (' r "~ ( of the building permit application fee does not constitute issuance of this building Framing rte ~ Final permit. I further agree that construction covered by this permit application shall not be commenceduntillhavereceivedacopyofthisapplicationformsignedbytheBuilding Electrical Inspector. 1 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 ofNebraska.lunderstandthatthispermitisvoidifworkisnotcommencedwithin Final Permanent Service 180 d r is not comp) ted wit ' ears of date of is e. Temporary Service ~r ~ ~ `~ -~ ~ Mechanical SIGNA REt F OWNEWCONTRACTOR DATE Rough-in A\C Final Comment: Plumbing _ Ground Work Rough-in Final WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT ~~ POUNDS PRTG: Blair, NE Rev. 6/96 rg. ,, AIL INS CITY OF BI:AIR 0 WASHINGTON COUNTY ~ OTHER LOCATION OF INSPECTION: ~~J ~ ~ , ~'~ ~ ,_ NAME OF OWNER: ~Ll % I ~\ ~/) CONTRACTOR: ~ Uf Z ~ ~-~~ DATE INSPECTION REQUESTED: ~ '~ ~~~ ~~ pERMITNO: ~ ~/~~t . TIME INSPECTION REQUESTED: , F I • ~~~ t TYPE OF INSPECTION REQUESTED: BUILDING: ., ^ FOOTING. ^ FRAMING ^ DRYWALL ©/FINAL ~ ~ ~ UTILITIES: r ^ SEWER TAP ^ SEWER [~ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE ELECTRICAL: ^ ROUGH IN ^ FIXTURES ~ FINAL ~ MOTORS PERMANENT SERVICE ^ TEMPORARY SERVICE MECHAMCAL: ROUGH-IN ^ A/C [~ ~~, r PLUMBING: ~ ' ^ GROUNDWORK ^ ROUGH-IN ; ^ FINAL RESULTS OF..T~IEINSPECTION: ~ PASSED (s~xorFS) ^FAILED (s~xo~s) NOTES/REMARKS: DATE OF INSPECTION CALLED OPPD\ TO CONNECT SERVICE: WANT OFFICE STAFF TO CALL OPPD\ / ~ ~ 'S •, ,~ ^ YES ^ NO~ ^ YES ^ NO BLR i