Signature Page/D r o YN"1 Y.',",
BUILDING PERMIT DEPOSIT AGREEMENT
A 500A 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.
A $50.00 refundable 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:
1ITheft 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.
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.
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.
7..,Digitally ;signed by Rudolph Lackner
oN c=US, E=rlac@novozymes.com,yor O No — es, OU=Project Execution,
CN Rudolph Lackner
Rudolph Lackne'rReaeen.I greeint,atarmadefinedbyme
placement of my s'gnature on this
te, 202 Date,
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ate-2((�P21224 16:5228-050D'
Contractor/Owner Contractor/Owner
24DEC2022
Date
City of Blair
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218 S 1�B ST