Signature Pagerculmrm
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 ' refLi'ndable deposit is being collected; for any residential remodel,.
additicn or accessory building valued under $10,000. .
'f
A$50.06 refundable deposit is being collected for all mJsc. 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.
3) All required inspections have not been obtained:
4) Occupancy occurs prior to a, final inspection.
.5) The proJect is completed without a final inspection being done.
6) W-9 is not filled out for return of deposit
7) Storm Water Management Plan inspection not obtained. (If Required)
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
Departrrient.
Contractor/O ner Contractor/Owner
Date
City of Blair
CITY 07 BLAIR
Z0S16TH ST
BLAIR ME 68008
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Pukt# M102240032
TEAM BLUEDRAlNCLE�ING
CKP463 203 HOLLOSTONE DR ST CT
PERMIT PAYMENT 115.00
ACCOUNT8AL ^�
CHECK H 463 STRT CUT
CHCK Received 115.001
Change .00
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