Signature Pages-Fencetl^ o del —
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,
k Jr
Date
City of Blair
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:
1 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.
�1
Al rt
� W-9 is not filled out for return of deposit
Storm Water Management Plan inspection Required)
not obtained. (If
I
If any or all of these situations occur during construction, you may forfeit your
deposit.
I 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.
f
i gg
7 f • � } " ' Z ' Pk ' .. 4..d ",.....
ul
XXXYYY iy'a»,..LM'ki,
r
7Contractor/Avner Contractor/Owner
k Jr
Date
City of Blair
CITY OFBLAIR.
ME 68006
BLAIR
______
Description____
___ ____
RADNOR TRAVIS
��8 3O33 WESTRIDGE DR FENCE
PERMIT 115OO
. PAYMENT
OO
1�. �
CHCK Keceived .
____________________
`1
n — o CITY OF I)LAIQ
FENCE PERMIT SUPPORTING DOCUMENTS
This supporting document includes information dealing with particular code
requirements and/or fence permit requirements. It in no way includes ALL particular
code items. Also, it is your responsibility to know the City of Blair Zoning Ordinance
Section 1102 requirements that apply to fences, walls, and hedges. Please understand
this document is only designed and distributed to aid in your fence permit process. A
copy of the City of Blair Zoning Ordinance is available for your use at the Blair Public
Library or on our website at www.blairnebraska.oig.
I understand that it is my responsibility as the owner/contractor to know the property
lines and legal boundaries of the property on which this fence will be constructed.
I have read the above disclosure and accept this building permit documentation on my
own behalf assuming full responsibility as the owner/contractor for this project.
f
VCekr
Owner/Oc pant Contractor
ch
City of Blair Date
218 South 16th Street • Blair, Nebraska 68008 • 402-426-4191 • Fax 402-426-4195 • E-mail cltyofblalr@cl,blalr,ne,us