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BP7720-05BUILDING PERMIT APPLI ` ' Jurisdiction of City of Blair, Nebraska Permit Fee: 218 South 16th Street Issuance Fee: Blair, Nebraska 68008 Deposit Receipt #: (402) 426-4191 • Fax (402) 426-4195 Permit 7 7 2 0 Application Date: ~~~~ L~ Issue Date: ~~~' I 3 ~' l 5 r 2 2y -~,IZ - ty - I~ i~f~vi~ 'l. ' ~7 -~ ~. ~ c K ADDRESS ~ ~ ~ 1 ~ 1 ~ r 1 ~ ~ (O~ / ~ ~ - `r . ~~~ ~ ~ ~~ ~ - I L ~ ~ ~ ~ I ~ V LEGAL 1. DESCR. LOT NO. BLK. TRACT ^ SEE ATTACHED SHEET OWNER 2. - At r IL ADDR S ~. d~'i ZIP PHONE CONTRA~P n~ MAIL ADDRES ZIP PHONE 3. vi^(~ Ci1Y1 ~ W ~~fU L`~f Of'1 ~ i~?~D ~ .eQd/ r'r~ . ~~~ ~as.,~ ~ ~ lQ~o~ a 4. Class of Work: O NEW O ADDITION O REMODEL ~~ al,~ 5. Describe Work: ~`G~~~ ~ ~~~, ~1y ~ ~(~Sj O Finished Basement O Unfinished Basement 6. Total Sq. Footage (lnoludingeasementandGarage>: Total Finished Area: 7. Valuation of Work: $ ~~, ~ ~ ~, ) Floodway O Yes O No 8. Floodplain: Fringe O Yes O No Dev. Permit BFE Elev. Cert. 9. Current Zoning: 10. State Fire Marshall Required: O Yes O No 11. Special Use Permit Required: O Yes O No 12. Variance Required: O Yes O No 13. Minimum Setbacks: Front 14. Sidewalk Required: O Yes Side Rear O No Waiver Approved NOTICE Separate permits are required for electrical, plumbing, heating, ventilating and air conditioning, and septic systems. By my signature below, I acknowledge chat payment of the building permit application fee does not constitute issuance of this building permit. I further agree that construction covered by this permit application shall not be commenced until I have received a copy of this application form signed bythe Building Inspector. I hereby agree to perform the proposed work in accordance with the specifications set forth above and in accordance with the codes/ordinances of the City of Blair and the State of Nebraska. I understand thatthis permit is void if workis not commenced within 180 days or is not completed within 2 years of date of issue. SIGNATURE OF OWNER/CONTRACTOR DATE Comment: Water Service Remote Stop Box Card Drywall (before finish) Final Fixtures Permanent Service A\C Final O Site Plan Attached O Complete Plans Attached Approximate Completion Date ~--1'~l ~ Inspections Required and Fees Utilities Sewer Septic Buildin Footings Framing Electrical Rough-in Final Temporary Service Mechanical Rough-in Final Plumbin Ground Work Rough-in WHEN PROPERLY VALIDA' Approved By: ~~ / c CATI O N N THIS SPACE) THIS IS YOUR PERMIT POUNDS PRTG: Blair, NE U Rev. e/96 a a ~ boy ~ ^ r ^ ~ ^ ^ r ^ ^ ~ ^ v ~ ~ ~ -~ o ~ c a- ~ c y ~ ~ ~~ o o ~ z ~ o ~ ~ x ~ x ~ o ~ z ~ ~ ~ ~ ~ ~ ~ ,\ z ~ ~ ~ . ~~ o ~ ~ ~ ~ `~ ~ ~ { ^ ^ ^ ^ ~ ^ ^ L m ~ ~ ~, ~ ~; ra ~ o ~ ~ ~, ~ ~~~ ~1 ~~ ~ -~ =~ ~ ~\ ~ ~~ ~ ,~ `~`~ rte. ~, ~` ~ ^ ~ ~ `` y r a ~ dryy r`~ y V O o ~ 7 d 3 7 0 y zz ~ ~ t7 7 - ~, ~ ~ o o ' ~~, y e ~. ~ ^ ~ -~ -~ ~~ O ^ . e= o o 7n o ~ n ~ ~ C ~ x b z d ^ '~, O ~ x y z 0 ~ ~ ^ r d z ^ o yJ' x ~ x ~ ~ ra- ^ ~' ~ ^ o y~ ~ ~ . n ~] ~ r H ^ ^ ~ C] n ^ ^ ^ ~ ~ S ~ ~' o o ^ ^ o ~ ~' a b o^ C ^ a ~b ~ ^ c~ G] r ~~ o~ I.~i d z c~ d z c~ 0 0 z p c a ~' b n.. 0 z p C d r r '~. ~ ~`; ~,j ~~ ~ ~2 ~~~ ~ ~ C4, ~`. ~ a ;~ ~, °z c d a z° p c d o ~ ~ ~ n~ ~ ° T. r~~~ ~o ~ o ~ ~ ~ ~~ ~ r ~ z \; ~ !7~+ - ~ f ~~ ^, 0 ~ u 1~f _ ~ ' o ~ b ~,. ^ ~;- ~ y ~ t~ F ~~ ~ Z d ` ~~ ~ s ~ j (~ ~ d~ n z O O ~ ~ y a ~ z ~ o a ~ ~. r; ~ ~ z ~ z ~ ~ ~?~ ~ ~ r. ~ ,-. '"~ H - ~~~ r c ~~ z ~ Z b C7 `6`+,~ J '~ ~ ~ ^ ~I1 ~ ` ' ~ , c, .; _ . ~_ ~'j '~ °z ~ ~ ~ ~ ~ ~ ^ y b ~~ ~ ~ ~ ~ z ~ o ~'~' ~ ~. o x ~, ei , ~' C ~ ~ ~ ~: ~ ~ ~``~ Q r~`++ . y ~'~ rr Fr ©m ~ ,FIF.z~ i~~t ~10[J5 r1i!'I'H ~0~ 4~6 4820 05-~0-97 14 48 P . OU2 " ~.._ ~. V 7ltyNu. !(.)lil~lvc.~~~ ~~ 1Srellc]~,a~ `,Cl Ci,uLracLor i,:> Toln Lamb DD (.'Un~LL'lli:.l',1~7b l,b. i''L°L7111 1~~It.~tc)t:tly ,~ 1r•~SS~ ~-~/~-y7 P e. I1 r i. :;, ~j~.~~~ y ~e-shJ.n~11nF, ~~ .L 2` II~rr.''I.c1ip~Gc. @ 1'~rkvlc~,~ r1ai~turr r ~ d~ VL1~] S~ . ,~ ``yy _, 2 4 i'V~ (r59 Ncl. 12111 ;i~l'191;{~ ®~~ ~wSS~'~ 7~/~`9~ ., ~~ ~~ ~~ - GII. T~t~, 17t11,tilACCl;j~o~e~-~ 0av~sro~ /~~~`l~ I Z I 1 8',~rl< `fi.rce.l / ~Q~~ ~~~~~ ~ `~~ Q/~ /O ~ ~~ ! ~~l0,1';rl~; .;;L1'C'1:?1 ~ ~o-Tiv~ ~ oc:f'S~~ ~~~~`~~ ~Q ~ ~S I I '~ ~i .I a ~; I~„ ~;t ~ 1 ~ ~eyt.-e ~c~.~ ~l ~~~ 9 ~ ~~ •` ~7 RR // .- ~~,~ ~~-1} ~.I~E~~I~~'. ~}If`_~V 11 ~ ~~ ~SS~~ ~.~/~.-~~ ~iJ ~ lV 1 ~-' 11.~ ~ ~ ~ '.4 f ~ _ J~~ ~~~~~~ ~~ ~~~ ~~ ~~ c V~~ , . , . ~ . ~ ~'(iy J~r~. ~'l~i .yl.~l:l~l Y~ ~~77~ ~fv.. ~/~ ~~ ~%CJ~I I t~?. i~is~ ((.1111 /4v+~.. ~o2ie ~c~SSc'G/ 7°- //- ~'~