BP4685Rnro~PCC_ Fli~aheth/Teri Smith
7YP~ iJF INSPECTION ROUGH FINAL AMOUNT DUE DATE PAID SUB-CONTRACTORS
Tet~porary Service
Footings
Framing
Permanent Service
Plumbing
Electrical /x.06 `j / .y~ ~~ ~ 5 E~~-~~C ~~~`~
Heating
Air Conditioning
Septic/Sewer Inspection
Water Inspection
Sewer Tap
Water Tap
Remote ~
Final Inspection
COMMENTS: remodel an office - 3 `nr'2-2KS
DATE
APPLICATION NO.: ~ AMOUNT PAID: 2
6/27/9C PERMIT NO.: 4685 ADDRESS: 118 S. 16th
NAME: I LOCATION:
Burgess, Eliyabeth/Jeri Smith !I S 30' Lot 15, Block 47
CITY INSPECTION SLIPS
I o ~„
Inspection has been requested for ~ ('~ r-~ °~ ~ '.~
Location of Building
~~
By ~ . _ . _
Name'of Company
_~ ~ ~-
Type of Inspection
At ? /;per.
Dane Time
Results of the Inspection are: ,> ~-~~~
r~
City Representative
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'1, No. ~ ~$
I, the undersigned, V V ~ (~ l Qm V `~ t I~6 ~ ,Electrical Inspector of the City of
Blair, Nebraska, hereby certify that on the day of 1.9 , I inspected the elec-
Block
tric wires, apparatus and all appurtenances thereto on the premises, situated on Lot
Ad•d~ition ~ i Q ~ ~ ~~ ,City of Blair, Nebraska, where electric wiring was done by
~1 C~~S ~~~C~r ~ ~- 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 day of ~ 19
~1; ~-b~-r~ Y3~~~ss
Electrical Inspector
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Blair, Nebraska
l"`~ 19 ~d No. l~~
WHERPAS, on the day of , 19 ~l t~ s ~/~~i ~
duly licensed Master Electrician, made application to the undersigned electrical inspect~o1rw Hof the
City of Blair, Nebraska, now therefore in consideration of the premises and agreement of
C.1'f'CT~~- to do electric wiring, strictly in accordance with the t7er~m~s. ~a(nd conditions of the
ermit to do said wiring is hereby granted 11~~+ ` S~r ~y rG
ordinances of said City, p Electrician
Lot Block Ad`'dlit~ion ~ ~ Q ~~ ~ ~~~'
Owner of Pro/p~erty l~ l 7 G- ~T1 ~ ' 'LY~~S -
~.- ll_-l.~`L~ ~' ~" ~' ~ F.lPrtrical Inspector
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