=13448_0002.tif CITY Of BLIP CITY Of 5LAK
Certificate of Occupancy
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Department of Building Inspections a 1
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This certificate is issued pursuant to the requirements of the International Building Codes, certifying that at the time of issuance this structure had been
inspected and was in compliance with the various Codes & Regulations of the City of Blair regulating building construction or use for the following:
Building Permit Number 13448
StructureDescription Primary Residence
ConstructionType V B
Contractor
Occupancy &Use R -3 and IRC Residential, one and two
Owner David & Deborah Burger StructureAddress family
12367 Merriam Dr 1432 Voss Dr
Blair NE 68008 Blair, NE 68008
PermitDescription
4 bedroom 2 story 3 finished baths and Unfinished basement with rough in bath. 2 car garage. TFA 2073
CodeEdition 20061RC
Occu antLoad 0 Fire Sprinlder Required? C3 Yes C3 No
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Special Stipulations &Conditions: Fire SprinlclerProvided? C3 Yes C3 No
October 26, 2010
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DateIssued
Howard Wolfe,BuildingInspector