BP4365TYPE OF INSPECTION ROUGH FINAL AMOUNT DUE DATE PAID SUB-CONTRACTORS
Tempor=pry Service
Footings
Framing
Permanent Service
Plumbing
Electrical ~ - U 1-a~n.g~ ~~~~ ~(~~ !k 79?C~9
Heating
Air Conditioning
Septic/Sewer Inspection
Water Inspection
Sewer Tap
Water Tap
Remote
Final Inspection
COMMENTS
DATE remodel a home
8-29-8 APPLICATION No.: 4171 AMOUNT PAID: $7000.00 - $30.00 #78624
PERMIT NO.: 4365 ADDRESS:
_ _ 2104 Jackson St.
NAME: LOCATION:
JORGENSEN CONT/John Tuttle Lot 375 BC 11-18-11 2104 Jackson S+
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I, the undersigned,r/~~~r1/1'~'~ ~. d"`~ L-~G'1J ,Electrical Inspector of the City of
Blair, Nebraska, hereby certify that on the day of _ , 19 , I inspected the elec-
tric wires, apparatus and all anppurtenances thereto on the premises, situated on Lot ,Block
Addition~~~5~1 Yl f kfl'1ti; City of Blair, Nebraska, where electric wiring was done by
Q~lC1~~. ~ K t ]t O. , a duly licensed Master Electrician of this City, and find said work
to be well and skilfully done and in compliance with the ordinances of the City of Blair, Nebraska:
Dated this 1~d!a~y oft] 19
~l l ~Q-vt `~fc~.QL I
Electrical Inspector
~Q~#xtcerxxc'~ (~nxts#x~tt#Ynl:~ .eami# ~~~#~ ~97(a9
Blair, Nebraska
. ~~ 19 ~9 No.
WI3EREAS, on the day of 19 a
r
duly licensed Master Electrician, made application to the undersigned electrical insp for of the
City of Blair, Nebraska, now therefore in consideration of the premises and agreement o~~11 QJ1C.4.~
~L~~Qto do electric wiring, strictly in accordance with the terms and conditi'o~of the
ordinances of said City, permit to do said wiring is hereby granted ~lC' ~e Ql.~h ~ll~f`"
Electrician
Lot Block ~~pp Addition ~~ (JCQfIy~ ~ - rs L ~ x(1'0- ly~h ~Ue
Owner of Property ul~'Y1 ~l~l "~
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