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Signature PagePromise A $500.00 refundable deposit is being collected for any new commercial, new residential, and any additions, remodels and accessory building valued $10,000 or greater at the time of your building permit application. A $200.00 refundable deposit is being collected for any residential remodel, addition or accessory building valued under $10,000. $50.00 efundable deposit is being collected for all misc. permits. The City reserves the right to not refund this deposit if any of the following conditions occur during the construction period: I1 Theft of water service by the plumber, owner, or general contractor. 2) All permits have not been obtained. All required inspections have not been obtained. Occupancy occurs prior to a final inspection. The project is completed without a final inspection being done. W-9 is not filled out for return of deposit Storm Water Management Plan inspection not obtained. (If Required) If any or all. of these situations occur during construction, you may forfeit your deposit. 1 hereby agree to the above conditions and understand that should any or all of the above situations occur, the building permit deposit SHALL be forfeited or discounted upon the discretion of the City of Blair, Building and Inspections Department. Contractor/Owner Contractor/Owner > Date City of Blair 2SSWH ST ---------------------------------------- Description ___________________Description k amt ________----------------------- Permit ___________ Permit# FS-�&OGW0 ����� 2300 COME DR FENCE PERMIT PAYMENT 115.00 ACCOUNT BAL .80 CHECK P L802 CHCK Received 115.01 0 00 ____________________