BP7580Building Report Detail
Permit #: 7580 Issued: 03/25/1997 Type: Signs
Completed: 05/21/1997 Valuation: $750.00
Owner: Blair Apartments Permit Fee: $15.00
Address: N. 18th Street Issue Fee:
Deposit Amt.:
Blair, NE 68008 Receipt #:
Phone:
Section: Township: Range:
Subdivision: Lot: Block:
Signs
Inspections Date By
05/21/1997 KAR Final Inspection of Project Pass
Remarks
Contractors
Metro Engineers General Contractor Permit # Issued
BUILDING PERMIT APPLI
Permit Fee: �S t5 C? Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Issuance Fee: Blair, Nebraska 68008
Deposit Receipt #: (402) 426-4191 • Fax (402) 426-4195
Application Date: Z5 - ? 7 Issue Date:
CATION
Permit
3.23--ci7
7580
JOB ADDRESS
LEGAL
1. DESCR.
LOT NO.
BLK.
TRACT
0 SEE ATTACHED SHEET
OWNER
AIL ADDRESS
ZIP
PHONE
CONTflACTOR� Lh • MAIL ADDRESS - _7n C
3.
P
l �l1 , OMGV [
/005 / X24
PHONE
6 (I 3 L — .5_S S z
el
4. Class of Work: NEW 0 ADDITION
U
13 REMODEL
3c.,q -g3s3
5. Describe Work:_ j0 , x S
0 Finished Basement
0 Unfinished Basement
or',j b II nil cci
—
d
6. Total Sq. Footage (Including easement and Garage):
Total Finished Area:
7. Valuation of Work: $ 5 C) • 00
Floodway O Yes O No
8. Floodplain: Fringe C] Yes O No
Dev. Permit
BFE
Elev. Cert.
9. Current Zoning:
10. State Fire Marshall Required: 0 Yes 0 No
11. Special Use Permit Required: 0 Yes 0 No
12. Variance Required: 0 Yes 0 No
13. Minimum Setbacks: Front Side Rear
14. Sidewalk Required: 0 Yes 0 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 that 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 copyof this application form signed by the 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 that this permit is void if work is not commenced within
180 days or is no completed within 22 yea f date qWme, G�
SIGNA RE OWNERICONTRACTOR DATE
Comment:
'Site Plan Attached 0 Complete Plans Attached
Approximate Completion Date A— 3'!" 7
Inspections Required and Fees
Utilities
Sewer
Septic
Building
Footings
Framing
Electrical
Rough -in
Final
Temporary Service
Mechanical
Rough -in _
Final
Plumbing _
Ground Work
Rough -in _
WHEN PROPERLY VALIDATE
Approved By:
Water Service
Remote
Stop Box Card
Drywall
(before finish)
Final
Fixtures
Permanent Service
A\C
Final
THIS SPACE) THIS IS YOUR PERMIT
POUNDS PRTG: Blair, NE /, Rev. 8196
ELECTRICAL PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008 0406
(402) 426-4191 Permit
Application Date: I o - Z s—� k'o Permit Fee: $ (PN -00
JOB ADDRESS -7/o - -74,o N. t =? " Ab -p ---
GC --LEGAL
LEGAL
DESCR.
LOT NO.
BLK.
TRACT
O SEE ATTACHED SHEET
OWNERMAIL ADDRESS
2. Q�GL t r .( c�nc
ZIP
PHONE
3 CONTRA OR MAIL ADD SS PHONE
Im Tr -ch,/) o I o t.os i I Oa ueopor4 6incJ2 o, /a M a
LICENSE NO.
39 Z -z SCY
Q
4. Class of Work: O NEW RESIDENTIAL I I`NEW COMMERCIAL O REMODELING/ADDITIONS
O UPGRADE SERVICE
5. Describe Work:
6• Current License on File Yes O No O NA
ELECTRICAL PERMIT FEES
New Service Fee = (Amp Fee + $2.00 per branch circuit)
1-100 Amp Fee ............................ $ 13,00
Upgrade Existing Service ...... $10.00
101-200 Amp Fee ............................ $ 18.00
Temporary Service $10.00
201-300 Amp Fee ............................ $ 30.00
301-400 Am Fee $ 42.00
Fire Alarm System ................. $10.00
401-500 Amp Fee ............................55
$ .00
Signs ..................................... $15.00
501-600 Amp Fee ............................ $ 67.00
Miscellaneous Apparatus ...... $11.00
601-700 Amp Fee ............................ $ 80.00
701-800 Amp Fee ............................ $ 92.00
801-900 Amp Fee ............................ $105.00
Commercial/Multi-Family and All Upgrades:
901-1000 Amp ................................. $117.00
# of Circuits x $2.00 ;Na. o:ttp X 2.W —
L4Q-bU
IF OVER 1000 Amp
Amp Fee 111.00 +� W
1st 1000 Amp Fee ....................... $117.00
Amp Fee Circuit Total
� p
oc)
Each additional 100 Amps ........... $ 13,00
+
NOTICE
New Residential: (Finished Area)
I hereby certify that I have read and examined this
Single/Two Family Dwellings
application and know the same to be true and correc II
sq. ft. x .045
provisions of laws and ordinances governing this pe of
work will be complied with he ecified he In or ot.
The granting of a per it doe of pr sume to a au ority
Receptacle/Switch Outlets
to violate or cancel pr Isions any of r stat or local
Fixtures—x $.75
law g ating o s ction r the erfo ance of
co structi n.
Residential/Commercial Appliance
# Fixed Outlets x $3.00
Power Apparatus (220 Volts)
# Apparatus x $3.00
cA on AUrHoiIEb Act
Permit Issuance Fee ............. $15.00
I 00
TOTAL
G .0 0
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Comment: Approved By:
POUNDS PRIG: Blair, NE Rev. 12/95
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OCT- 4-96 FRT 4:16 PM METRO ENGINEERS FAX ILIO, 4023910269 P. 2
Oct -03-96 01:41P np dodge 398 5202 P.01
RENTAL AGREEMENT AMENDMENT
fi (Addition of Garage)
THERE,I9 A CERTAIN RENTAL AGREEMENT between the N P Dodge
Management Company, glair Affordable Housing Inc.
as owner, and v v and --
jointly and severally, if more than one, hereinafter referred to as
Resident covering the dwelling unit located at -
§30 NORTH 19TH ST. being part Of
BLAIR APARTMENTS for the term commencing on
July 16, 1994 and endiiAg on july 31,-1997 -
It is hereby agreed and understood between owner and Resident that
this Rental Agreement be amended effective on October 2, 1996 ,
to add garage number as a part of this agreement. It
is further agreed and understood that Owner shall not be responsible
for any lose or damage to said automobile or storage or any other
part thereof while being stored within this area.
It is the resident's responsibility to maintain adequate space for
parking in this garage at all times throughout occupancy.
It is further understood that any damage or damages occurring to
this garage premises as a result of the residents's action or
actions shall be the responsibility of the resident, and any
necessary repair or repairs shall be charged to him based on the
actual cost of materials and labor to make such repairs.
Resident hereby agrees to pay to owner as additional rent for said
garage $_ per month during the full rental agreement term under
the same terms and conditions as the original Rental Agreement.
IN WITNESS WHEREOFy the parties have executed this Rental Agreement
Amendment this _ day of , ig.,�.
n p Dodge Management Company, Agent
BY:
Resident
Resident
For office Use Only:
Rent Paid $
form #SHC0191 Data Paid
I NEBRASKA STATE FIRE MARSHAL
i
r
f
Code Review"" ,
ReviewedBy_ „ F8 Main Office
El District "N' ❑ District "B" ❑ District "C"
❑ Main Office
X
4
DATE
❑ District "C"
246S.14
246S.14
438 West Market
200 South Silber
Lincoln, NE 68508-1804
Lincoln, NE 68508-1804
Albion, NE68620-1241
North Platte, NE 69101-4200
To:
ERIC WOLFSPHASE
(402) 471-2027
R E:
II RE FD
(308) 535-8181
SFM-75a (Rev.3/94)
METRO )ESNGIN>ERS INC -
HLATRAPART14ENTS -
Fire Chief
PINK—Deputy GOLD — Office File GREEN — Extra
f
10051 MAPLE
630 N 19 j';jly .}
i
OMAHA NE 68134
BLAIR NH
�l
VP�;'.' ,j afs
I
1
Your been reviewed
for • • - with the Nebraska1
*Review and approval is conditional upon conformance with comments listed in remarks.
O Preliminary Plans and O
Reviewed for compliance O Resubmit for Approval*
Specifications Reviewed*
with State Accessibility
Standards*
Final Plans and
SpecificationsApproved * O
Shop Drawings Approved* O Materials Reviewed*
i
REMARKS:
I
1. Exits that are not
immediately visible to the building occupants
f shall be marked with
exit signs. NF'PA 101-1985 Edition, Section
5-10.1.2
2. Shop drawings for
the sprinkler system shall be submitted for
review.
CC* Blair Codes
This code review does not include a determination of compliance
with State of Nebraska
Accessibility Guidelines. This compliance
must be determined by the
local Jurisdiction in which the project is
located.
SIGNED`
r
Doug Hohbein
❑ Main Office
X
District "N'
❑ District "B"
❑ District "C"
246S.14
246S.14
438 West Market
200 South Silber
Lincoln, NE 68508-1804
Lincoln, NE 68508-1804
Albion, NE68620-1241
North Platte, NE 69101-4200
(402) 471-2027
(402) 471-2027
(402) 395-2164
(308) 535-8181
SFM-75a (Rev.3/94)
WHITE—Recipient YELLOW—
Fire Chief
PINK—Deputy GOLD — Office File GREEN — Extra
Paned wpm soy in% oo recyciea Pa Per(4
y } iBUII.D NG' NSPECTION;REPART i� IUII:D iT�S` uO_U c €F BUILD
lt9�RE - R NG INSPECTION REPORT
{ i 0.'ONCOUNIY OTHER E
OF Bi AIIt TON COUNTY OTHER JCIL� OF BLADt WASHINGTO J�TY OTHER
CATIOY- PECTION:. • I9+ thATG J LOC 76; (n l% 4. ,r
7 LOC4TION OOF INS PE N:
NAMEOFOWNER' �Q12PD/SCONTRACTOR: ' dl-�'-r o NAMEOFOW�f -
CONTRACTOR: K�
l l /� NAME OF 0 CONTRACTOR:
DATEINSPEC OEQUESTEO: I z-J 9S PERMITNO: fI DATE-INSPECTI01* UESTED;�I PERMITNO: Q
DATE INSPECTION REQUESTED. 2 PERMITNO:
- TIME INSPECTIONREQUFSTED: - �• ry). + TIME INSPECTIONREQl1ESTED: �I TIMEINSPECHONRP.QUESTED. -
- TYPE OF INSPECTION REQUES D:
TYPEOFiNSPECTIONREQUESTED:� TYPE OF INSPECTION REQUESTED:
BUILDING: B,,1..7IfLDING - - - �> BUILDING: �,T.IITIES:
OOTING` ❑ FRAMING ❑ DRYWALL ❑ FINAL ,�,FOQTING ❑ FRAMING ❑DRYWALL ❑ FlNAL ❑ FOOTING ❑ FRAMING . ❑ DRYWALL [FINAL .¢; �[TPILLITIES UTILITIES:
SEWER TAP ❑SEWER ❑ SEPTIC ❑ WATER TAP - ❑-SEWER TAP.'.❑'SEWER, ❑SEPTIC ❑WATER TAP :. I; ❑.SEWER TAP ❑ SEWER ❑ SEPTIC ❑WATER TAP
F1 REMOTE El WATER SERVICE
REMOTE" ❑,WATER SERVICE ❑ REMOTE ❑ WATER SERVICE
.ELECTRICAL:
ELECTRICAL: ELECTRICAL:
❑ ROUGH IN ❑ FIXTURES ❑ FINAL ❑MOTORS ❑ ROUGH IN ❑ FIXTURES ❑ FINAL ❑ MOTORS //
❑ ROUGH IN ❑ FD(TURES ❑FINAL ❑MOTORS
❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE
PERMANENT SERVICE TEMPORARY SERVICE f [� pFRMANENT SERVICE //❑ TEMPORARY SERVICE
MECHANICAL: `MECHANICAL: .':jYIECHANICAL:
ROUGH-IN -[-IA/C ❑ FINAL r . []ROUGH-IN ❑ A/C - ❑ FINAL j r+❑ ROUGH-IN ❑ A/C "FINAL -
PLUMBING: f:; PLUMBING: - .PLUMBING:
❑ GROUNDWORK ❑ ROUGH�IN - ❑FINAL ❑ROUGH-IN El ❑ GROUNDWORK ❑ ROUGH4N �"FWAL
f ❑GROUNDWORK /
�/! s
RESULTS OF THE INSPECTION,❑FAILED (SEE.NOTES) � �RE SULTS OF THE INSPECTION: 4\YPASSED(sEFNoTEsj ❑FAILED'(sEENOTEs) RESULTS OF THIA PECTION PASSED(SEENOTES) ❑FAILED(SEENOIES -
jj , NOTES/REMARKS: +'w
NOTES/REMARKS: NOTES/REMARKSi`
INSPECTOR: (' INSPECTOR: - INSREG7-0 r
(. DATEOF SPECTIONMADE: - -
DATE OF INSPECTION MADE: TIMET—� • -- j, - TIME: _ - DATE OF INSPECTION MADE
CALLED OPPD\ TO CONNECT SERVICE: -
CALLEDOPPD\ TO CONNECT SERVICE:- YES NO ❑YES ❑NO o ",CALLEDOPPD\ _. TO.CONNECI'SERVICE - ❑YES .❑NO
1 nu�rmncvne crncc mn rei i. rnoorn ci'-, [ '�vnc [ISO
AI R1 .i%ANTyOFFICE T _ 5TAFF; AI-1 ,vm G-1nrnCALLOPPD\ offer r.v.c wrmnccine mr.cc Tn n.-rr noo.w
..
3UILDING INSPECTION REPORT
BUILDING INSPECTION REPORT
.ty �
p BUILDING.INSPECTION REPORT
j k
l
yOTHER�.
( ~� y.
f FBLAEt� AS ONCOUNTY ❑ OTHER
.OF BLAiASIOOTHER
;!gams
❑C 'OwF BLA.,H
GTON COUNTY
.
-•-
�� r \ S7 — t V. YA i!7'X'�1
:LOC SPE 0N: I\I . '�Q cSI
LOCdT49 SPECf70N:
TION OFIII E ON: , r
,se (��d
- �(x(u CONTRACTOR:
OF OWNER
NAME OF OWN _`._ CONTRACTOR:
I
.ME OF OWNER e,4��r>ONTRACTOR:
p .'NAME S
aDATEINSPECTTO}i'REQUESTED:
.�'�''`"7�iie`�S
�
I o2 I�o/rJPERMITNO:
DATE Iz�zo-7S
DATE INSPECTTONeREQUESTED:- �7'-�/-s PERMIT NO:
INSPECTIO 'QUESTED: PERMITNO:
A, n /
; TIME INSPECTION REQUESTED: am•
TIME INSPECTION REQUESTED:b0 nsc
TIME INSPECTION REQUESTED: r YY�
f �
.TYPE OF INSPECTION REQUESTED:
.:
TYPE OF INSPECTION REQUESTED:
TYPE OF INSPECTION REQUESTED:
`( BUILDING: S I L� ,..?'
:` BUILDING:
BUILDING: :.
//
FOOTING E] FRAMING ❑DRYWALL F1 FINAL
�> OOTING ❑ FRAMING E] DRYWALL ❑FINAL
! FOOTING .❑ FRAMING ❑ DRYWALL ❑ FINAL
.
IUTILITIES:
UTILITIES:
_
UTILITIES:
�'-
-
SEWER TAP [-]SEWER •❑•SEPTIC []WATER TAP -
-
❑SEWERTAP '❑SEWER El SEPTIC El WATER TAP
..
,-❑SEWER TAP ❑SEWER ❑SEPTIC ❑WATER TAPE]
F-1
❑REMOTE ❑WATER"SERVICE
E] REMOTE ❑ WATER SERVICE
❑ REMOTE WATERSERVICE
.`�
:k
-
ELECTRICAL:
'ELECTRICAL:
w ;ELECTRICAL:
1
' ❑ ROUGH IN ' ❑FIXTURES []FINAL MOTORS
- ❑ ROUGH IN ` ❑ FIXTURES ❑ FINAL ElMOTORS
ROUGH IN ❑ FIXTURES ❑FINAL ❑ MOTORS
" '
-
P❑TEMPORARYSERVICE-
{ PERMANENT
❑PERMANENT SERVICE TEMPORARY SERVICE
PERMANENT SERVICE F,TEMPORARY SERVICE
i
MECHANICAL:
MECHANICAL:
MECHANICAL:
" w
'..__,;,•,-
-
�'
[]ROUGH -IN ❑-ALC - ❑FINAL _
. r-- ❑ROUGH -IN -❑ A/C ❑FINAL
'• ElROUGH IN 3 A/C ...❑: FINAL
J
PLUMBING:
PLUMBING;
PLUMBING:"'.
R - ❑ GROUNDWORK ❑ ROUGH -IN ❑ FINAL
ROUGH -IN ❑
❑GROUNDWORK ❑ FINAL
,. ❑GROUNDWORK ROUGH -IN FINAL
r..
�•�
RESULTS OFTHEINSPECTION: �SEDs'FLED❑1sFEN_ Os)
RESULTS THE
`RESULTSOF!IEINSPECTTON: ASSED (SEE NOTES) ❑ FAILED (SEE NOTES)
NOTES/REMARKS: - -
)- NOTESLREMARKS:
') INSPECTOR: - n-GJ�f����
INSPECTOR:
-%
a,
'T[Iv1E:
INSPECTOR: 7
.'r! TIME: % 6
DATE OF INSPECTION MADE:_^ 6
{
`�- DATE OF INSPECTION MADE: - TIME:
DATE OFINSPECTIONMADE: —
CALLED OPPD\ TO CONNECT SERVICE El YES ❑ NO !r
CALLED OPPD\ �_ TO CONNECT SERVICE YES ❑ NO
CALLED OPPD\. ' TO CONNECT SERVICE: El YES E] NO .
h
G
sANOEFICRSTAFFTO ALI OPPp\ ❑ ❑N
......... ,._....._..,.... .... _,. ...�.. ,„ ...
W OF C SC F OP N4 9�FI
` FT C L
AN•T. - FI6 A 4 .Ak . kG� . -- Q-= 5 ❑ _. _ .
—
-Ai
BUILDING INSPECTION REPORT
BUILDING INSPECTION REPORT
N. COUNTY El OTHER
4A!V.'%LJ6NCOUNTY
A,
.5p OPBLAIR OTHER
LOCATION Sem
LOCATION E ON
4210
-i_�DoakT,6�+s CONTRACTOR:NAME
CONTRACTOR-
,:',NAME OF OWNER-,
0-22-5S pERmITNo:
OF OWNEi,
NO
DATFINSPECTIOVEQUESTED:
DATEINSPECTIol QUESTED: As
J3(
.,11MEINSPE CTION REQUESTED: -'
TIME INSPECTION REQUESTED:.
TYPE OF INSPECTION REQUESTED:
TYPE OF INSPECTION REQUESTED;
'BUILDING:
BUILDING:
FOOTING ❑FRAMING ❑DRYWALL ❑FINAL
-1 FRAMING
?f�COTJNG DRYWALL ❑ FINAL
UTILITIES:
UTILITIES:
F1 SEWER TAP;, E] SEWER []SEPTIC DWATER TAP
❑ SEWER TAP ❑ SEWER [I SEPTIC •E-1WATERTAP
F1 REMOTE El WATER SERVICE
E]REMOTE [] WATER SERVICE
',r� ELECTRICAL:
ELECTRICAL:
7ROUGH IN [I FIXTURES [I FINAL El MOTORS
❑ ROUGH IN ❑ FIXTURES ❑ FINAL ❑ MOTORS
PERMANENT SERVICE F-1 TEMPORARY SERVICE
El PERMANENT SERVICE Fj TEMPORARY SERVICE
MECHANICAL:
'MECHANICAL:
7 ROUGH -IN [I A/C 7 FINAL
RouGH-IN EJ A./C • 7 FINAL
PLUMBING:
PLUMBING:
F� GROUNDWORK DROUGH-IN []FINAL
E] GROUNDWORK El ROUGH -IN El FINAL
FAILED
RESULTS OF THE INSPECTION: b�IASSED(sm.Noms) E (SEE NOTES)
RESULTS OF THE INSPECTION ,&TIASSED (SEE NOTES) ElFAILliD(SEENom)
NOTES/REMARKS:
NOTES/REMARKS:
�s'INSPECTOR
INSPECTOR: _�^032
e�TIME:
TIME: ZZ
DATE OF INSPECTION MADE:
DATE OF INSPECTION MADE:—
CALLED OPPD\ TO CONNECT SERVICE El YES El NO
CALLED OPPD\ TO CONNECT SERVICE: ❑ YES ❑ NO
NO
BUILDING INSPECTION REPORT
iONCOUNTY
ZA N
❑ OTHER
LDCATIOA -
MV
IINAMEOF6 52�
CONTRACTOR.
DATEINSPECrio UESTED: 71-
PERMITNO:
TIMEINSPECTI ON REQUESTED:
TYPE OF INSPECTION REQUESTED:
BUILDING:
, "FOOTING FRAMING, 0 DRYWALL []FINAL
EISEWER TAP -EISEWER D SEPTIC Cl WATER TAP
El REMOTE ❑ WATER SERVICE
1 41 5 ELECTRICAL:
El ROUGH IN El FIXTURES 0 FINAL [I MOTORS
El PERMANENT SERVICE E] TEMPORARY SERVICE
MECHANICAL:
ROUGH -IN [I A/C ❑ FINAL
PLUMBING:
❑ GROUNDWORK ❑ ROUGH -IN ❑ ANAL
RESULTS OF I THE INSPECnONZt!g�SSED (SEENOTES) El FAILED (SEE NOTES)
NOTES/REMARKS:
INSPECTOR:
DATE OF INSPECTION MADE: .1-2-705 Z/; /`5
IN
CALLED OPPD\ TO CONNECT SERVICE: E]YES , []NO
BUILDING INSPECTION REPORT
-IR ❑ OTHER
CWF BLAIIt ";AnGG�I'ONCOUNTY
r
LOCATION INSPEC�HON: /Ifl�
FY�.�hn ?AAr
NAME OFOWNEI �1 /a. 4E/ CONTRACTOR: 1JUl % I,
DATE INSPECTIOIJREQUESTED: e -2_-Z 1� PERMTPNO:
TIME INSPECTION REQUESTED:
TYPE OF INSPECTION REQUESTED:
. -BUILDING:
❑ FOOTING ❑ FRAMING . ❑ DRYWALL ❑ FINAL
UTILITIES:
❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP
❑ REMOTE L wATERSERVICE
❑ ROUGH IN []FIXTURES ❑ FINAL ❑ MOTORS
❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE
(` MECHANICAL:
❑ ROUGH -IN ❑ A/C ❑ FINAL
PLUMBING:
❑ GROUNDWORK ❑ ROUGH -IN ❑FINAL
•:RESULTS OFTHE INSPECTION. ,�ED(SEENOTES) ❑FAILED(smmEs)
h4
i� 41" a
NOTESIREMARKS: a er hve Pu e
,;/` ,cb/yi�iP,%"C.!e�sL`i yTnr ccxs7% S,40e 04 �-ari
DATE OF INSPECTION MADE: r,?I
CALLED OPPD\ TO CONNECT SERVICE: [-]YES
❑ NO
INSPECTION REPORT
FBLAIR `{ WASIIIN ONCOUNTY ❑ OTHER
CATION be0jACM q
NAME OFOWNER:p' bLA�TofoCON°IRACTOR:.
I
-DATE INSPECTIO[�tEQUESTED: 12-2_q- PERMTTNO:
TIME INSPECTION REQUESTED:
\TYPE OF INSPECTION REQUESTED:
BUILDING:
❑ FOOTING ❑ FRAMING . ❑DRYWALL ❑ FINAL
UTILITIES:
-- ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP
C ❑ REMOTE ❑ WATER SERVICE
-r.:
❑ ROUGHIN ❑ FIXTURES.: ❑ FINAL - ❑ MOTORS
PERMANENT SERVICE El TEMPORARY SERVICE
MECHANICAL: 4n �,(,,/:I""�,
❑ ROUGH -IN []A/C ❑ FINAL, / oi-
2)( ^/ �Q AWN a EJB
T.ROUNDWORK
NGyv �.S�5 ❑ROUGH-IN❑FINAL
Jp w /<
'•JULTSOFTHE INSPECTION:ASSED(SEENOTES) ❑FAILED(SEENOTES)
•1 INSPECTOR.
DATE OF INSPECTION MADE:
CALLED OPPD\ TO CONNECT SERVICE ❑ YES ElNO
-. r.vac P-. O BLRI,-
} BUILDING INSPECTION REPORT .
I'I70FBLAIR WAS ONCOUNTY ❑ 0 ER
LOCATION (' INSPION:
crw:,r,at
NAME OF OWNER CONTRACTOR
iaa� 95
DATEINSPECTIOI�REQUESTED: - PERMITNO:
TIME INSPECTION REQUESTED:
TYPE OF INSPECTION REQUESTED:
FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL'
UTILITIES:- )
❑ SEWER TAP" [:]SEWER, ❑ SEPTIC ❑ WATER TAP
❑ REMOTE ❑ WATER SERVICE
ELECTRICAL:
ROUGHIN ❑ FIXTURES ❑ FINAL ❑ MOTORS
PERMANENT" SERVICE ❑ TEMPORARY SERVICE
MECHANICAL:
❑ROUGH -IN -❑ A/C ❑ FINAL
GROUNDWORK ❑ ROUGH -IN ,❑ FINAL
-RESULTS OF-THEINSPkTION: ASSED(SEeNO ) ❑FAILED(SEE NOTES) /
NOTES/REMARKS:�(./.T
INSPECTOR
DATE OF INSPqCTION MADE: �TE:
CALLED OZST
\ V TO CONNECT SERVICE. ❑ YES [I NO
"t4t97'OF,A"F TO'CA LLop Dl, xt ,� y�z ❑YES �. ,fl Np ELR1 -
BUILDING INSPECTION REFUkU
Cj F BLAIR TWAS' INOTON COUM F-] OTHER
0c)
L PE, ON'
NAME OFO
CONTRACTORo
L)�
u
PERMIT NO:
DATE INSlECTICJlj'REQUESTED:
TIME INSPECTION REQUESTED:
TYPE OF INSPECTION REQUESTED:
BUILDING:
❑ FOOTING ❑ FRAMING El DRYWALL ❑ FINAL
UTILITIES:
r-1 PERMANENT'SERVICE
OSEWER TAT,
FjSEWER n SEPTIC ❑ WATER TAP
1aREMCTE
n WATER SERVICE
ELECTRICAL:
-PLUMBING:
E�IGROUNDWORK
\ ROUGH IN
nFIXTURES OFINAL n MOTORS
n PERMANENT SERVICE ❑ TEMPORARY SERVICE
MECHANICAL:
[]ROUGH -IN
❑A/C ❑ FINAL
PLUMBING:
❑ GROUNDWORK kOUGH-IN 7 FINAL
RESULTS OF THE INSPECTION: �PASSFD (SEE NOTES) ❑FAILED (SEE NOTES)
li
NOTFSIREIMARK�
INSPECTOR:
DATE OF INSPECTION MADE: TIME:
CALLED OPPD\ To CONNECT SERVICE. ❑ YES Fl NO
'BUILDING INSPECTION ]REPORT
WzCVX.OFBLAIR I ,qWASW ONCOUNTY 0 OTHER—
LOCATION lop
we -it ncllws, CONTRACTOR:
NAME OF OWNER
DATE INS'ECTIO!kAEQU ESTED: 1-1210 PERMIT NO.
TIME INSPECTION REQUESTED:
TYPE OF INSPECTION REQUESTED:
BUILDING:
❑ FOOTING 0 FRAMING 0 DRYWALL ❑ FINAL
UTILITIES:
:OSEWER TAP OSEWER 0 SEPTIC ❑ WATER TAP
0 REMOTE 0 WATER SERVICE
OROUGH IN, OFIXTURES OFINAL ❑ MOTORS
r-1 PERMANENT'SERVICE
❑ TEMPORARY SERVICE
MECHANICAL:
0 ROUGH -IN [3 A/C
El 1`114AL
-PLUMBING:
E�IGROUNDWORK
[:]ROUGH -IN [JFINAL
MULTS OF THE INSPECTION: 0 PASSED (SEENOTES) &;LD (SEE NOTES)
NOTES/REMARKS: .&c/::f
4
Q!4 -'a /_wI-L
�_ -
DATE OF INSPECTION MADE: t4/ TIME:
CALLEDOPPD\_ TO CONNECT SERVICE: 0 YES ONO
T7- .7N0 �BLR 1.
BUILDING INSPECTION REPORT
TpY�OFBLkIRON COUNTY ❑OTHER
LOCATION_ ON: --7
- 7�4
,,NAWOFO�VNE�--de-y��-CONTPACrOR:. 7—
EC PERMIT NO
-,,DATEINSP TIOVEQUESTED
4E INSPECTION REQUESTED:
TYPE OF INSPECTION REQUESTED:
BUILDING:
❑ FOOTING ❑ FRAMING 11 DRYWALL El FINAL
UTILITIES:
El SEWER TAP 0 SEWER [:1 SEPTIC ❑ WATER TAP
OREMOTE 0 WATER SERVICE
,'ELECTRICAL:
0 ROUGH IN 0 FIXTURES 0 FINAL ❑ MOTORS
0 PERMANENT SERVICE El TEMPORARY SERVICE,
MECHANICAL:
ROUGH -IN ❑ A/C FINAL
PLUMBING: 1.11411— li:lzelr 7-0
;!F a7
N El FINAL
GROUNDWORK OROU 6
4 RESULTS OF THE INSPECTICN:XPASSP'(SEENOTES)/O FAILED (SEE NOTES)
NOTES( EMARKS:
INSPECTOR:
DATE OF INSPECTION MADE:—
CALLED OPPD\ TO CONNECT SERVICE: 0 YES ONO
BUILDING INSPECTION REPORT
eCSI I OF BLAIR WASHINGTON COUNTY ❑ OTHER
LOCATIom EC�IION ��� C' VI/%G/l4 /
NAME OFOWNEI:.6 Ag CONTRACTOR:
DATE INSPECTIO4 REQUESTED: 3--79,962 PERMIT
TIME INSPECTION REQUESTED: azu pw
TYPE OF INSPECTION REQUESTED:
BUILDING:
❑ FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL,
UTILITIES: -
I
❑SEWER TAP [-]SEWER ❑SEPTIC ❑ WATER TAP
❑REMOTE ❑WATERSERVICE
ELECTRICAL: Y2
t_yIROUGHIN �❑FIXTURES ❑FINAL ❑MOTORS
1 ❑ PERMANENTSERVICE ❑ TEMPORARY SERVICE
MECHANICAL:
❑ ROUGH -IN ❑ A/C ❑ FINAL
PLUMBING:
❑ GROUNDWORK ❑ ROUGH -IN ❑ FINAL
RESULTSOFTHE INSPECTION.❑PASSED(sEENOTEs> FAILED(sEENo7m)
NOTES/REMARKS: ��e� <Z![7/G
DATE OF INSPECTION MADE:-? � � /Yc TIME:
-
❑ FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL
CALLED OPPD\ TO CONNECT SERVICE:
❑ YES ❑ NO
WANT OFFICPSTAFFM f1Al I,.nPPTI\' _ _ .�w
n ven :. � n,./tis-;.
'BUILDING INSPECTION REPORT
gg;)'OFBLAIR ION COUNTY OTHER
LOCATION T49 8CTION. �I / S�
NAME OF OWNER: a1G l� r TFl6l -IC[,�CONTRACTOR: -/ld
DATE INSPECTIOVEQUESTED: / J� PERMITNO:
TIME INSPECTION REQUESTED: A .m"
TYPE OF INSPECTION REQUESTED:
!BUILDING:
-
❑ FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL
UTILITIES:
❑SEWER TAP ❑SEWER ❑ SEPTIC ❑ WATER TAP
/
❑ REMOTE ❑ WATER SERVICE
1
- ELECTRICAL:
ROUGH IN [IFIXTURES E]FINAL ElMOTORS
�j� IIJ JJJ
PERMANENTSERVICE ❑ TEMPORARY SERVICE
MECHANICAL:
1 OUGH-IN ElA/C El FINAL
((Z
RUMBING:
El GROUNDWORK OUCH -IN ❑ FINAL
RESULTS OF THE INSPECT%N: �i P/I�ASSED (SEs NOTrs) ❑ FAILED (sem NOTO)
NOTES/REMARKS:
II
INSPECT(
J0111 �
//00
- DATE OF INSPECTION MADE: _ TIME:
CALLEDOPPD\ TO CONNECT SERVICE: ❑ YES [I NO
WAWTnPPTrPgTAPT:TnrATT nDDfl\
BUILDING INSPECTION REPORT
f%%OFBLAIR 1b�7dWA$( CONCO/U/NTY ❑- OTHER
Y
CATION MCC�n! / `� • ����
NAMEOFOWNEt�%A/1Cup 6FfiTfC'+"—"ONTRACTOR: 0 CJ- CIS/
a
DATE INSPECTIOILREQUESTED: -675 - �� PERMIT NO:
-'' TIME INSPECTION REQUESTED:
TYPE OF INSPECTION REQUESTED:
BUILDING: /
❑ FOOTINGFRAMING ❑ DRYWALL ❑ FINAL
UTILITIES:
y`❑SEWER TAP ❑SEWER El SEPTIC ❑ WATER TAP
❑ REMOTE ❑ WATER SERVICE
,•.I�ELLEECTRICAL:
1#ROUGHIN [I FIXTURES ❑FINAL [3 MOTORS
� PERMANENT SERVICE
TEMPORARY SERVICE
MECHANICAL:
-❑ ROUGH -IN ❑A/C -1 FINAL
-: PLUMBING:
❑ GROUNDWORK ❑ ROUGH -IN ❑ FINAL
RESULTS OF THE INSPECTION: N-"SSED(SENOTB) ❑ FAILED (smmms)
NOTE$/REMARKS:CT
INSPEC
DATE OF INSPECTION MADE: l7 -� Vii" TIME:
CALLED OPPD\ TO CONNECT SERVICE: ❑ YES NO
BUILDING INSPECTION REPORT
/pWASiIINC'CbN I��OTHER
CITB'�OF BLAIIt �, /J
c�'
3PECTION REPORT BUILDING INSPECTION REPORT
COUNTY ❑ 0 OFBLAIR �'W, PION COUNTY ❑ OTHER
LOCATIA SPEC ON:
LOCATIONOFVSPECTION:
�/5109---CONTRACTOR: / "`/C�/ NAME OF OWNER CONTRACTOR: NAMEOF OWN V 3 CONTRACCOR: 4
NAMEOFO/
r7 p DATEINSPECTTONREQUESTED; b - DATE INSPECTIO4REQUFS �� PERMIT NO:
1 7� PERMIT NO: - PEIIRIITTNO:
DATE INSPECTTONdLEQUESTED: '4� �.. - _ �/ 60
s� TIME INSPECTION REQUESTED: L� . µy' TIME INSPECTION REQUESTED:
TIME INSPECTION REQUESTED:-5'.-sonLU�/G_ �%
TYPE OF')NSPECTION REQUESTED: ///��� ' u TYPE OF INSPECTION REQUESTED:
TYPE OF INSPECTION REQUESTED: ,
BUILDING: BUILDING:
BUILDING: // �t���.,,!�w`cv `�
❑ FOOTING ❑ FRAMING. ❑ DRYWALL /FINAL 7-:5 / FOOTING FRAMING ❑DRYWALL Lif FINAL I ❑ FOOTING ❑FRAMING ❑ DRYWALL ❑ FINAL
UTILITIES:S�j' UTILITIES: / ` UTILITIES:
E] SEWER TAP El SEWER SEPTIC WATER TAP . ��r '� 'I ❑ SEWER TAP []SEWER ❑ SEPTIC ❑ WATER TAP ,+, ❑ SEWER TAP ❑ SEWER ❑SEPTIC ❑ WATER TAP
WATER SERVICE
El REMOTE ❑WATER SERVICE []REMOTE ❑
;❑ REMOTE ❑ WATER SERVICE
�
f�
�ffiiivvv ELECTRIELECTRICAL:
ELECTRICAL: f¢
95/ ❑ ROUGH IN [I FIXTURES [I FINAL [I MOTORS r ❑ ROUGH IN El FIXTURES El FINAL F1 MOTORS A)o'4 S ��
❑ ROUGH IN ❑ FIXTURES FINAL E3 MOTORS !3g
❑ PERMANENT SERVICE ❑TEMP9RARYSERVICE � L L
❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE, ;[ ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE
h �/vp� arta y
`• '�
MECHANICAL: MECHANICAL:�5�v�cP Flo
MECHANICAL:�+6A� p1 k
0 ROUGH -IN p AIC p FINAL1 1 ❑ ROUGH -IN p A/C ❑ FINAL
❑ -IN ❑,�/
ROUGHA(C �
FINAL /C N� 1Gj`�� : }= ,Q d6 I— -
r4 _� ��(� PLUMBING:, - - y'% PLUMBING: (/�"
PLUMBING: pUTSIi-�%� -
ROUGH -IN FINAL `2� '� ❑ GROUNDWORK ❑ ROUGH -IN [I GROUNDWORK ROUGH- FINAL
❑GROUNDWORK -
-� I/ _
RESULTS OFTHE-INSP.ECTTON: PASSED (SEE No F ED (SEENo7Es) _ r lli RESULTS OF THE INSPECTION: ❑PASSED (SEE NOTES) - AIl ED (SEE NOTES)
If
RESULTS OF THE INSPECTION: pPASSED (SEE NOTES) �AILV(sEE' TEs)
NOT;Es/REMARxsi`r•ClllS NOTES/REMARxS: ,ga z�f s cve a.w
INSPECTOR:
/J D
TIME: c
DATE OFINSPECTION MAD
E -
CALLED OPPD\ TO CONNECT SERVICE: ❑ YES NO
---- T. -AI .noon .. ] _ : n.YES . ❑;��' .
_ IGS
_ DATE OF INSPECTION MADE. - TIME..
1 CALLED OPPD\ " TO CONNECT SERVICE:
za &Z
INSPECTOR: - -c
DATE OFINSPECTION MADE: ��g TIME: IR -'S -le
NO
" CALLED OPPD\ TO CONNECT SERVICE: ❑ YES ❑NO
y
rr❑"N0I�r�WANTOFFI.OF,"S'�AF�FTQCALLOPPD��._ y,❑YES, ❑.NO ;6LA1
COUNTY ❑ OTHER
NAMED
REPORT
N REPORT
ON COUNTY ❑
n _...
n �� c NAME OF 0 PR T1I � a CCNTRACIOR;
NAME OF OWfR !;0-�"' ' CONTRACTOR:-
-q 1 - ��/f - y
DATE INSPflCTI0N�I2EQUESTED: - T/Y��!(zP TND: - �'�' GQ/- /� GG DATPINSPECTION:ItEQUESTED:�PERhIIT NO: �lllI
DATE INSPECTTOI*REQUESTED: 7�0 `+� PERMIT NO: �JO�,�
TIME PECTION -+ REQUESTED: - i' /� r' ! TIME INSPECTIONREQUES: i O `�
INS
TIME INSPECTION REQUESTED: / I�T� 1 �`��
TYPE OF INSPECTION REQUESTED: tel' TYPE OF INSPECTION REQUESTED:
�' ✓ �) I / I - -TYPE OF INSPECTION REQUESTED: -
BUILDING: .Af°A`^/'n/V�. k� BUILDING:
BUILDING:
TING [-IFRAMING El DRYWALL FINAL
'FOOTING ❑FRAMING ❑DRYWALL El FINAL
❑ FOO
��' FOOTING ❑ FRAMING DRYWALL FINAL
El {
UTILITIES: UTILITIES: Jrl�
/ UTILITIES: }
❑ SEWER TAP []SEWER ❑ SEPTIC ❑ WATER TAPSEWERTAP []SEWER ❑SEPTIC [:1 WATER TAP
❑ SEWER TAP ❑ SEWER ❑SEPTIC ❑ WATER TAP '� \
❑ REMOTE ❑ WATER SERVICE ❑REMOTE ❑ WATER SERVICE (�
(i y,
u / ❑REMOTE ❑WATER SERVICE
ELECTRICAL: ELECTRICAL:
QjQp,1� FCL1n�G 5 ' ELECTRICAL:
ROUGH IN ❑
FIXTURES ❑FINAL ❑ MOTORS --1M
❑ ROUGH IN ❑ FDITURES ❑FINAL El MOTORS
❑ ROUGH IN ❑ FIXTURES El ❑MOTORS
El SERVICE ru �t1�Tt �dY6 ' ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE
- - P
❑ PERMANENT SERVICE ERMANINTSERVICE PORARY SERVICE
MECHANICAL: CJS
MECHANICAL: /-
��� ECHANICAL:
❑ ROUGH -IN ❑ AIC ❑ FINAL �J l� Y ao ' C \) ❑ ROUGH -IN ❑ A/C ❑ FINAL
a W/riy0�i ' ❑ ROUGH -IN ❑ A/C ❑ FINAL. PLUMBING: MSG t o -e L-- A;' .
PLUMBING: 26
f��P�OUHL O {�: UlYI1 iG PLUMBING: a FJ7 /1
_- ❑ GROUNDWORK ❑ ROUGH -IN ❑ FINAL JAS ���� )' ❑ GROUNDWORK ❑ ROUGH -IN ❑ FINAL
,_,/,J ❑ GROUNDWORK ❑ ROUGHIN ❑ FINAL
RESULTS OF THE INSPECTION: ASSED(sEENoTFs) ❑ FAILED (SEE NOTES) - RESULTS OFTHEINSPECTTON: PASSED(sEExorFs) oT�S)
uo�,/�. / J RESULTS OF THE INSPECTION:/PASSED (srExm'Fs) ❑ FAILED tseexoTPs> _
NOT /REMARKS: `�4L P. � NOTES/REMARKS
NOTES/REMARKS: -
/B'
INSPEC R:
INSPECTOR: INS
! .DATEOFINSPECTIONMADE: TIME:
DATEOFINSPECTIONMADE: TLMFi o .'. - O
- - DAT'EOFINSPECTION MADE: TIME:
CAI,LED'OPPD\ TO CONNECT SERVICE,, ❑YES-,.' ❑NO ? ERVICE [I YES El NO
❑N0. 1 D 00
7 CALLED OPP \ T ONNECT S
CALLEDOPPD TOCONNECTSERVICE
I WANTOFF(CE�SJAFFTOCALLOPRDi`3' x YFS ANO B�R7 ;:
1 .WANT OFFICF.STAFF -TOCALL,OPPD\..: _.:; �I—I YFS ❑NO-;'.�BLR vl .._.:- ,.m.....m,. ;i,:�.,, _ `.-_,�-.' ,n...J.cc ..l -iiv- ai c.u..•1.,..t +.v....h, :
N. REPORT
OiTAPOFBLAIR [O,WASiCOUNTY ❑
BUILDING INSPECTION REPORT
'CFC+IxOFBLAIR WAS
Q^ H�TONCOUNTY ❑ OTHER
LOC TION QE RECTION:
NAME OFOWN R ifi���� CONTRACTOR:
- DATE INSPECTIONoREQUESTED:S�-0 14 ppRMgTN0: "I
TIME INSPECTTONREQUESTED:
TYPE OF INSPECTION REQUESTED:
BUILDING:,
❑ FOOTING ❑ FRAMING ❑ DRYWALL FINAL
UTILITIES:
- ❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP
❑ REMOTE ❑ WATER SERVICE
ELECTRICAL: �/
❑ ROUGH IN [Ii
FIXTURES . t FINAL ❑ MOTORS
❑
PEP MANENT SERVICE ❑ TEMPORARY SERVICE
MECHANICAL: `
- ❑ROUGH -IN ❑ A/C FINAL
PLUMBING:
❑ GROUNDWORK ❑ ROUGH -IN /FINAL -
RESULTS
T
INSPECTOR -
DATE OF INSPECTION MADE:
NSPEC •DATEOFINSPECTIONMADE:-�- •''DME;
CALLED OPPD\ TO CONNECT SERVICE: ❑ YES NO ,
REPORT
❑ OTHER
LOC �{QN OF iSPECTION: —/n�/o - M Al, I ' ' kl °— ��
NA MEOFOWER I (wl� 4i11[7Y�C�3p�k CONTRACTOR: /' u 0
DATE INSPECTIOIVREQUESTED: i� PERMIT NO:
TIME INSPECTION REQUESTED:
TYPE OF INSPECTION REQUESTED:
BUILDING:
❑ FOOTING " ❑ FRAMING ❑ DRYWALL FINAL'
-' .UTILITIES;
�zP
❑ SEWER TAP ❑ SEWER ❑ SEPTIC
El WATER TAPS SroJl'
❑ REMOTE ❑ WATER SERVICE
ELECTRICAL:
❑ ROUGH IN ❑ FIXTURES ❑ FINAL ❑ MOTORS
❑ PEP MANENTSERVICE ❑ TEMPORARY SERVICE
Ta r �lasE T
MECHANICAL:
ROUGH -IN ❑ A/C ❑ FINAL G7k,Ire
PLUMBING: ' }yam /`"
❑ GROUNDWORK ❑ ROUGH -IN rj FINAL
INSPECTION REPORT
A%NCOUNTY ❑ O=
,/Z ,�
..
NAMEOEI FOI�¢R � CONTRACTOR: / 1���
W -
DATEINSPECTIOIFREQUFSTED: - PERMIT NO:
TIME INSPECTION REQUESTED:
TYPE OF INSPECTION REQUESTED:
BUILDING:
❑ FOOTING ❑ FRAMING ❑ DRYWALLFINAL
L UTILITIES:
❑ SEWER TAP- ❑ SEWER -'❑ SEPTIC
❑ WATER TAP
❑ REMOTE ❑ WATER SERVICE
,.
ELECTRICAL:
_
" ❑ ROUGH IN ❑ FIXTURES R/FINAL
❑ MOTORS
" - ❑ PERMANENTSERVICE - ❑ TEMPORARY
SERVICE
= MECHANICAL: -
,�//
0 ROUGH -IN ❑ A/C Y FINAL
PLUMBING:
❑ GROUNDWORK ❑ ROUGH -IN
/FINAL
RESULTS OF THE INSPECTION: ❑ PASSED (sEENm'Fs) /AILED(SEE NOTES)
DATE OFINSPEC1ONMADE: TIME:
-
CALLEDOPPD\ TO.CONNECTSERVICE:-❑.YES ❑NO.
.WANT'1)=rG.QTA M7 T.n RAT 7' nPPM'.l-.: . 1_ Vcc ,`:1-1 un hCo 1;..
BUILDING INSPECTION REPORT
OFBLAIR ®:WASHIN6 ONCOUNTY ❑ OTHER
LOCATION-OFINSPECTION. % " /.�JA-t�JrG
NAME OF OWNER ! RACfOR:
DATE INSPECTIOI$REQUESTED: `46 26 PERMITNO: (LI
TIME INSPECTION REQUESTED: nm /( I�✓C '�y%�$Z
TYPE OF INSPECTION REQUESTED:
BUILDING:T/"
❑ FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL
UTILITIES:
❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP
❑ REMOTE ❑ WATER SERVICE
ELECTRICAL:
❑ ROUGH IN ❑ FIXTURES FINAL ❑ MOTORS
❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE
MECHANICAL:
❑ ROUGH -IN ❑ A/C ❑ FINAL
PLUMBING:
❑ GROUNDWORK ❑ ROUGH -IN ❑ FINAL
RESULTS OF THEINSPE�5C�DDN: ❑PASSED(SMNOTES) IFAILED(SFENOTEs)
NOT /REMARKS: L/sL=ifGC ��C—jr' ��F� T,
INSP R:
DATE OF IN MADE: TIME;
CALLED OPPD\ TO CONNECT SERVICE: ❑ YES ❑ NO
rrrn
❑ OTHER
REPORT
DATE INSPECTIOVEQUESTED: S ��� fn ("R �I
TIME INSPECTIONREQUESTED:
TYPE OF INSPECTION REQUESTED: -710
l 7 ZFD
BUILDING: A,/,
/ IS/{"Ij�,(f�,
❑ FOOTING ❑FRAMING ❑DRYWALL El - -BLxi ICI, vi Q(\lV
UTILITIES: • �
❑ SEWER TAP []SEWER ❑ SEPTIC - ❑ WATER TAP
❑ REMOTE ❑ WATER SERVICE
ELECTRICAL:
❑ ROUGH IN ❑FIXTURES FINAL ❑MOTORS
P/PFRMANENTSERVICE. CE
MECHANICAL:
❑ ROUGH -IN ❑ A/C ❑ FINAL
PLUMBING: -
❑ GROUNDWORK ❑ ROUGH -IN [I FINAL
RESULTS OF THE INSPECTION:IPASSED(sEENom) ❑FAILED(smwm)
NOTES/REMARKS:
a` '/%7T -7-//t 8 '71m
i INSPEC 4
L - DATE OF INSPECTION MADSE. -T / TIME:
CALLED OPPD`&X�ruC TO CONNECT SERVICE: MYES ❑NO
j.
BUILDING INSPECTION REPORT
*CW.OFBBALAIR [j WASHINGTONCOUNTY ❑ OTHER
LOCATION U.FIIJSPECffON:
v I
%.
NAME OFO NER � /LA`F/ � CONTRACTOR:._,a'�� �
DATE INSPECTION REQUESTED: -Z% E^RhMIT NO:
TIME INSPECTION REQUESTED: /?`J� `_/
�
TYPE OF INSPECTION REQUESTED: �J
II
{ BUILDING: -
❑ FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL -
.i
UTILITIES:
❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP
❑ REMOTE ❑ WATER SERVICE
ELECTRICAL:
❑ ROUGH IN []FIXTURES ❑ FINAL ❑ MOTORS
❑ PERMANENT SERVICE �❑ TEMPORARY SERVICE
MECHANICAL:
❑ ROUGH -IN ❑ A/C ❑ FINAL
' PLUMBING:
❑ GROUNDWORK ❑ROUGH -IN ElFINAL
RESULTSOFTHEINSPECTION������IIII�PASSED(SEENOTES) ❑FAILED(sEENoms)
NOTES/REMARKS:
INSPECTOR:-/
` DATE OF INSPECTION MADE TIME
CALLED OPPD\ TO CONNECT SERVICE ❑ YES ❑ NO
rt im
WA, NN OFFiICESTAi!FTQ�CALL�ORpp\,_ � ❑,YFS^y C�NO 81A1
BUILDING INSPECTION REPORT
4fCTf#OPEILA "P NTY
IR, E
WAS_�GTON COU OTHER
LOCATION 3d
.-, Q � WIN
NAME OF OWNER
0 ,
CONTRACTOR:
., '//
TIME INSPECTION REQUESTED: S. 3d
TYPE OF INSPECTION REQUESTED:
BUILDING:
'_'�FOO77ING DFRAMING ODRYWALL OFINAL
UTILITIES:
SEWER TAP 0 SEWER ❑ SEPTIC ❑ WATER TAP
p
iJIREMOTE E]WATER SERVICE
A.
-IROUGH IN E]FIXTURES E]FINAL ❑ MOTORS
PERMANENT SERVICE ❑ TEMPORARY
SERVICE
MECHANICAL:
OROUGH.IN []A/C
El FINAL
PLUMBING:
F]'GROUNDWOPK
OROUGH-IN []FINAL
RESULTS OF THE INSPECTION:/
ASSFD(sFzNoTFs) []FAILED (SEENOTES)
NOTES/REMARKS:
INSPE
DATE OF INSPECTION MADE:
gi.
CALLED OPPD\
TO CONNECT SERVICE -YES ❑No,
�,aOFAIR �A WASfX_J,(3TON COUNTY [] OTHER
B'L JY1
•
C ,
6Fw 7
NAM90FOINER;
l3ki
CONTPAcTOR:_n(-/o .6/r/4,
DATE INSPECTim
.6kiQUESTED: ERMIT,O:
TIME INSPECTION REQUESTED:
TYPE OF INSPECTION REQUESTED:ra
BUILDING:
❑FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINAL
UTILITIES:
SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP
[]REMOTE E3 WATER SERVICE
ELECTRICAL:
ROUGH IN [] FDnjqZES ❑ FINAL
MOTORS
❑PERMANENT SERVICE ❑
TEMPORARY SERVICE
MECHANICAL:
OROUGH-IN' E3 AIC El FINAL
PLUMBING:
r-IGDI;—
BUILDINGINSPECTION REPORT
pp p*OFBLAi. COUNTY [] OTHEjt
OCATION INSPECTION.
NAME OF OWNER. �2�qoNTRACTOR:
DATE INSPECTIC%REQUESTED: I PERMIT NO:
TIME INSPECTION REQUESTED:
TYPE OF INSPECTION REQUESTED:
BUILDING:
[3 FOOTING El FRAMING 0 DRYWALL ❑ FINAL
UTILITIES:
El SEWER TAP El SEWER . El SEPTIC ❑WATER TAP
❑ REMOTE ❑ WATER SERVICE
ELECTRICAL:
/OUCH IN [I FIXTURES [I FINAL ❑ MOTORS
El PERMANENT SERVICE El TEMPORARY SERVICE
MECHANICAL:
eROUGH-IN ' E] A/C E3 FINAL
PLUMBING;.
WORKPASSED
DFIxAL
ROUGH -IN E] FINAL
.�V
RESULTS OF THE INSPECTION: P,
PASSED(SEENO-) OFAILED(SEENom) fff
PASSED ( FAILED (sEE Nons)
NOTES/REMARKS: RESULTS OF THE INSPECTION. El mmms)
NOTES/REMARKS:
INSPEC &
DATE OF INSPECTION MADE:�� INSPECTOR:
DATE OF INSPECTION MADE: 6 TIME:
CALLED OPPD\
TO CONNECT SERVICE: El YES ❑ NO CALLEDOPPD\— TOCONNECT SERVICE: ❑YES -[]NO
,,T QFF3CESTAFF TO CALL PPD\
41
;YIs !.4 BLR I
Ail
BUILDING INSPECTION REPORT
'.�jOFBLAIIt [],
W4
&N ❑OTHER
�yy, .o:
LOCATIONGFINSPECTION: V 2.1APJI
-O 11 2
NAME OF OWNER • Aad �CTOR: 'G _
DATE INS�ECTIO REQUESTED: .5,40`524- PERMITNO: �7 V_ 6'e)
e)
TIME IN(SPjE/ ONREQUESTED:-my
- gyasy v
dao rr��
TYPE OF INSPECTION REQUESTED:
BUILDING:
❑ FOOTING ❑ FRAMING ❑ DRYWALL ❑ FINA�LD���G�//
UTILITIES:
❑ SEWER TAP EWER �! ❑ SEPTIC ❑ WATER TAP�GC,
❑ REMOTE ❑ WATER SERVICE
ELECTRICAL:,
❑ ROUGH IN []FIXTURES ❑FINAL ❑ MOTORS
❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE
MECHANICAL:
❑ ROUGH -IN ❑ A/C ❑ FINAL I
PLUMBING:
❑ GROUNDWORK�❑ RROUGH-IN [I FINAL
RESULTS OF THE INSPECTION: I�PASSED(SEENOTES) ❑FAMED(SEENOTES)
NOTES/REMARKS:
BUILDING INSPECTION REPORT
COUNTY ❑ OTHER
NAMEOFOWNER" y su1C- r1 M1{CYN�..C. CONTRACTOR: wLlle- ArAI%
DATEINSPECTlOIy;LJS REQUESTED: -(Ll-p�, PERMITNO:
nl,IE INSPECTION REQUESTED: C\ -m.
TYPE OF INSPECTION REQUESTED:
TYPE OF INSPECTION REQUESTED:
BUILDING:
❑ FOOTING ❑ FRAMING ❑ DRYWALL
❑ FINAL
:UTILITIES:
❑SEWERTAPSEWER [I SEPTIC
111❑
❑ WATER I
❑ REMOTE WATER SERVICE
ELECTRICAL:
❑ ROUGH IN ❑ FIXTURES ❑ FINAL
❑ MOTORS
❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE
MECHANICAL:
❑ WATER TAP -
❑ ROUGH -IN ❑ A/C ❑ FINAL
❑REMOTE. [:1 WATER SERVICE
PLUMBING;
❑ GROUNDWORK ❑ ROUGH -IN
[]FINAL
DING���TSPECTION REPORT
-
❑ CITY OF BLAM ❑WASHINGTON COUNTY ❑ OTHER
LOCATION �FINSPE ON•
NAME OF OWN L�p C ]�CTOR:
DATE INSPECTigI 'REQUESTED/ " / l PERMITNO:
TIME INSPECTION REQUESTED: y -
TYPE OF INSPECTION REQUESTED:
BUILDING:
1 ❑ FOOTING ❑ FRAMING ❑ DRYWALLINAL
S
UTILITIES: -
�. ❑ SEWER TAP ❑ SEWER ❑ SEPTIC
❑ WATER TAP -
❑REMOTE. [:1 WATER SERVICE
ELECTRICAL:
❑ ROUGH IN ❑ FIXTURES ❑ FINAL
❑ MOTORS
❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE -
1:-'
MECHANICAL:
-
":Nk
-
r' ._❑ROUGH -IN ❑A/C /FINAL
-
• ' PLUMBING:
(
[]GROUNDWORK ❑ ROUGH -IN
,�,/
�f FINAL
RESULTS OF THEINSPECIION: PASSED(sEENom) ❑ FAILED (SEE NOTES) If RESULTS OFCHEINSPECTION': ASSED(SEENOTES) []FFAAII.ED(sEENoms)
NOTES/REMARKS: I NOTES S•-� ✓ l7, e 14e
INSPECTOR - -tip, /.�% INSPEC _ ,/. /J ','INSPECT
DATE OFINSPECIYONMAD - TIME: --/ ` c D"' `- DATE OF INSPE M Ex TIME: DATE OF INSPECTION MADE: TIME: a
"CALLED OPPD\ TO. CONNECT SERVICE: ❑YES ❑ N0 `'- CALLED CPPD\ TO:CONNEC .SERVICE ❑ YES ;❑ NO CALL$D OPPD\ , TO -CONNECT SERVICE: . ❑ YES ❑ NO
p BGTILDINGr INSPECTION REPORT P:BlILDINO�.4,.-:wI1VSPECTIUN REPORT BTILDING :INSPECTION REPORT
'. : p 5
tc��,ATIOAFASP?CTION:
IfYOFBLAIR Q WASHINGTON COUNTY ❑ OTHERTYOFBLAIR WASHINGTONCOUNTY y�CITYOFBLAIltQ ❑ OT}� �jJ ❑WASHINGTON COUNT ❑ OTHER
iaeAo - 4y a �!1 JJJ --? ku'- ��
LOCATION'0 INS ECTION: 1 . f� Ave-nu' LOCATION'OFBJSPEC7'j0 ;
/J� ylry1,/ /'
NAME OF OWNER: .. hl� /7 ` MAO �yVa
j _ ONTRACTOR: NAMEOFO CONTRACTOR: _ NAME OF OWNER: o CONTRACTOR:
DATEINSPECTIONREQUESTED: �2�, �� PERMITNO: 7Z•SO i. / v�� ,(O - ! 7
DATEINS PERMIT,NO: /0 DATEINSPECTIGNREQUESTED: PERMIT NO:
TIME INSPECTION REQUESTID: �'r/'• TIME INSPECTION REQUESTED: �U TIME INS PECTION�REQUESTED:/y
TYPE OF INSPECTION REQUESTED: •—\�{y^\ / r 7'
1 +' TYPE OF INSPECTION REQUESTED: - TYPE OF INSPECTIONrREQUESTED:�
BUILDING: -"-
` BUILDING: BUILDING:. ., 11451 l
❑ FOOTING ❑ FRAMING [:]DRYWALL ® FINALS"
❑FOOTING❑ FRAMING ❑ DRYWALL ❑ FINAL w ,0 FOOTING. ❑FRAMING ❑DRYWALL ❑FINAL\
UTILITIES: - - -l..rk'�",• J G
UTILITIES: FUTILITIES:
❑SEWERTAP ❑SEWER SEPTIC WATER TAP
❑ SEWER TAP 0 SEWER SEPTIC WATER TAP .... , Q SEWER TAP • Q SEWER ❑ SEPTIC ❑ WATER T
❑ ❑ ❑ ❑
❑REMOTE ❑WATER SERVICE
k ❑ REMOTE ❑ WATER SERVICE ❑REMOTE Q WATER SERVICE
ELECTRICAL: ELECTRICAL: EL
ECTRICAL.
! ❑ ROUGH IN ❑ FIXTURES ❑ FINAL Q MOTORS .� �j, ROUGH IN ❑ FIXTURES ❑ FINAL ❑ MOTORS - ' _UGH IN ❑ FIXTURES ❑ F NAL ❑ MOTORS
j o"
❑PERMANENT SERVICE ❑TEMPORARY SERVICEIP /❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE ❑PERMANENT SERVICE TEMPORARY SERVICE
MECHANICAL:
i, MECHANICAL: MECHANICAL
❑ RO UGH-IN ❑ A/C Q FINAL • - -�
❑ ROUGH-IN ❑ A/C ❑ FINAL ❑ROUGH-INS❑- A,/C ]FINAL
PLUMBING: OFAILED(smNoms)
PLUMBING ,�PLUMBING: �❑ GROUNDWORK ❑ ROUGH•IN ❑GROUNDWORK ROUGH-IN❑ FINAL - ❑ GROUND ORK ROUGH-IN ❑ FINALRESULTS OF THEINSPECT[ON: ❑PASSED(seENo L � RESULTSOFTHEINSPECTIO . �PASSED(SEENOTES) :❑FAILID(sEENOTas> RESULTS OF THEINSPECT[ON: ❑PASSE'D((sEENOTO))/. ❑FAILED (SEE Nons)
NOTES/REMARKS: r NOTES/REMARKS: NJT /REMARKS:
- i /
INSPECTOR:-
- f� INSP } INSPEC
DATE OF INSPECTION MADE: TIME:.// L,; DATE OF INSPECTION MADE: TIME: `vG� DATE OF INSPECTION MADE: - TIME
1 - - -
44
CALLED OPPD\ TO CONNECT SERViCH:❑ YES'- ONO i„ CALLED OPPD\ TO CONNECT SERVICE: ❑YES Q NO 'CALLED OPPD\ TO CONNECT SERVICE Q YES ❑ NO >.
;yJANTOFFICESTAFFTO,CALLOPPD:❑YES'`,.; ❑N- BLR1 wW OFFICE STAFFTO:CALLOPDb YES- 0 ; BL 1
s - ONO"... .. ''.� `..._ _-. .r -_.-r �.. .... .....w. .. _. x.., e,w _.,_..�...�.. tip...,.. ..,�,-,-.
- WILDINg INSPECTION REPORT
X. CITY OFBLAIR ❑ WASHINGTON COUNTY ❑// OTHER
LOCATIOAFAPE N:
NAMEOFOWN - CONTRACTOR: T7
DATE INSP1iCTIONREQ PERM7NO: <ZSQ
TIME INSPECTION REQUESTED: 710 `
TYPE OF INSPECTION REQUESTED: A 6•"r]�
BUILDING: f
FOOTING ❑FRAMING ❑ DRYWALL FINAL
UTILITIES:
❑ SEWFR TAP ❑ SEWER
❑ SEPTIC
❑ REMOTE ❑ WATER SERVICE
ELECTRICAL:
❑ ROUGH IN El FIXTURES "
���///
/FINAL
PERMANENT SERVICE
/❑ TEMPORARY
MECHANICAL:
❑ WATER TAP _
❑ MOTORS -
�I
i
/FINAL
0ElROUGH-IN ❑ A/C ��:
PLUMBING: �/�
❑ GROUNDWORK ❑ ROUGH -IN /FINAL
RESULTS OF THE INSPE ON: XPASSED(S OTES) ❑FAILED(smmms)
ell[::,
DATE OF INSPECTION MADE: �' TIME: A�o
CALLEDOPPD,� YC1//r TO CONNECT SERVICE: ,OYES [I NO _
WANT_ OFFICE STAFF TO CALL OPPU, O.YFS . ❑NO , BLR1
BUILDINGS ;INSPECTION. REPORT
CITYAFBLAIR '❑ WAS' GTONCOUNTY ❑ OTHER
LOCATIINSPECITON: Nr ' � —
NAMEOFOWNER: [�IGIr 1'It�O�rryGb� CONTRACTOR:
DATE INSPECTION REQUESTED: ��30��� PERMIT NO: �ZS�
TIMEINSPECTION REQUESTED: Soo
TYPE OF INSPECTION REQUESTED: "
BUILDING:
❑ FOOTING ❑FRAMING ❑ DRYWALL FINAL
UTILITIES: ,
❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP
❑ REMOTE ❑ WATER SERVICE
ELECTRICAL:
❑ ROUGH IN ❑ FIXTURES ❑ FINAL
El MOTORS
❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE
MECHANICAL:
❑ ROUGH -IN ❑ A/C ❑FINAL
PLUMBING:
❑ GROUNDWORK ❑ ROUGH -IN ❑ FINA/AILED
L
RESULTS OF THE INSPECTION: ❑PASSED(SEENOM) (smmms),
NOTESIREMARKS:
DATE OFINSPECTION MADE; TIME.— Z
- CALLEDOPPD\ T TOCONNECT SERVICE. ❑YES []NO
_,A!AjJTQFFICESTAFFTO,CALLOPPi?\ r - ,a, -y ❑YFS p IO BLR
BTILDINGINSPECTION REPORT
CITYOFBLAiR 'M ❑ WASHNGTO COU OTHER
Q �1%/�
LOCATION FINSPE N: �GJ
NAM OFOWNER - �� ' " NTRA�� CTOR:
I. DATE INSPECTION REQUESTED: Q "'PERMITNO: / v
- TIME INSPECTION REQUESTED: d ��
b
'f TYPE OF INSPECTION REQUESTED:
BUILDING:
❑ FOOTING n ❑ FRAMING ❑ DRYWALL ❑ FINAL'
UTILITIES:
[]SEWER TAP [:]SEWER ❑ SEPTIC ❑ WATER TAP
❑ REMOTE ❑ WATER SERVICE
ELECTRICAL:
i
❑ ROUGHIN ❑ FIXTURES/FINAL ❑ MOTORS
I' ❑ PERMANENT SERVICE //❑ TEMPORARY SERVICE
MECHANICAL:
( ❑ ROUGH -IN ❑ A/C ❑ FINAL
�f PLUMBING:
❑-GROUNDWORK E] ROUGH -IN ❑FINAL
RESULTS OFTHE INSPECTION: IXPASSED(SEE NOTES) ❑FAILED(SEENOTFS)
NOTES/REMARKS:
i
i
'INS,.. --z
I
. DATE OF INSPECTION MADE: /v TIME:' D
CALLED OPPD\ TO CONNECT SERVICE: ❑ YES ❑ NO
V-WANTOFF�CE$TAFFTOLALLOPPD\-� '[� YES ;�]NO BLR7.
a_13I ILIDINGtINSPECTION REPORT
(CITY OFBLAIR ❑ WASHAIGTONCOUN/TYY OTHER
LOCATIONbFINSPECf10N: [ ,)y • I y r ' U�--
NAMEOFOWNER-'l�(%f/�n(LC�- CONTRACTOR:
_ DATE INSPECTION REQUESTED: ���I�-�r✓' PERMITNO:
TIME INSPECTION REQUESTED: �• m (f
TYPE OF INSPECTION REQUESTED:
BUILDING: YFINAL
f-1FOOTING ❑ FRAMING [IDRYWALL UTILITIES: /✓Y/�'`'G' �!/E
❑ SEWER TAP ❑ SEINER ❑ SEPTIC ❑ WATER TAP
❑ REMOTE ❑ WATER SERVICE
ELECTRICAL:
❑ ROUGH IN ❑ FIXTURES ❑ FINAL ❑ MOTORS
❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE
MECHANICAL:
❑ ROUGH -IN ❑ A/C ❑ FINAL
PLUMBING:
❑ GROUNDWORK ❑ ROUGH -IN ❑ FINALLF/
RESULTS OF THEINSPEE/C�WN: ❑ PASSED (SEENOTES) FAILEDi(s/ENoms).
NOTES/REMARKS: /�+�GLP�J�C�
`.,. INS .
DATE OF INSPECTION MADE: / /al TIME:
CALLED OPPD\ TO CONNECT SERVICE: ❑ YES ❑ NO
WANT OFFICE STAFFTO CALL OPPD\ ❑ YES ❑ NO BLR 1,'.
13U-ILDING.,INSPECTION REPORT
CITY OF BLAIR � ' ❑ WASHINGTON COUNTY ❑ OTHER
LOCATION & INSPECTION:
NAMEOFOWNIR: ( r� i (()"LL119 CONTRACTOR:
DATE INSPECTION REQUESTED: (l ' ^I - Ci (o PERMIT NO: ? Sl7
TIME INSPECTION REQUESTED: P, I�t1. '� •co
TYPE OF INSPECTION REQUESTED:
BUILDING:
..LG BcOM
❑ FOOTING [I FRAMING ❑DRYWALL FINAL
l)
UTILITIES: .8 F � !�/c!
❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP
❑ REMOTE ❑ WATER SERVICE
ELECTRICAL:
❑ ROUGH IN ❑ FIXTURES ❑ FINAL ❑ MOTORS -
❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE
MECHANICAL:
❑ ROUGH -IN ❑ A/C ❑ FINAL
PLUMBING:
❑ GROUNDWORK ❑ ROUGH -IN []FINAL
RESULTS OF THE INSPECTION: ❑ PASSED (SEENOTFs)A7LED(SEE NoTEs)
DATE OF INSPECTION MADE: l TIME. ° /2
CALLEDOPPD\ TO CONNECT SERVICE: ❑YES El NO
WANT OFFICE STAFF TO CALL OPPD\ ❑ YES ❑ NO$LR I
13ZILDING INSPECTION REPORT
�xCITYOFBLAIIt ❑WASH] G�TONCOUNTY ❑OTHER
IACATIO `SF I�`ISPECTION�"�>'
NAME OF OWNER• 2 /I
F� / NTRACTOR:
DATEINSPECTIONREQUESTEM % �' PERMITNO:
TIME INSPECTION REQUESTED:
TYPE OF INSPECTIONREQUESTED:
BUILDING:
❑ FOOTING''. ❑ FRAMING ❑ DRYWALLFINAL
❑ROUGH -IN pFINALL
UTILITIES:
❑ SEWER TAP ❑ SEWER` ❑ SEPTIC
❑ WATER TAP
❑ REMOTE ❑ WATER SERVICE
ELECTRICAL: '-
❑ ROUGH IN ❑ FIXTURES [VEINAL
❑ MOTORS
❑ PERMANENT SERVICE TEMPORARY SERVICE
MECHANICAL:
DATE OF INSPECTION MADE:
El A/C LXFINAL
PLUMBING:
❑GROUNDWORK-
❑ROUGH -IN pFINALL
RESULTS OF THE INSPECTION:
❑PASSED(SEENOTES) /FAILED(sEENoTEs)
NOTES/REMARKS:
TNSPECIO
DATE OF INSPECTION MADE:
�c
TIME:
CALLED OPPD\
TO CONNECT SERVICE: ❑YES ❑NO
WANT OFFICE STAFF TO CALL
OPPD\ - ❑ YES ❑ NO BLR 1.-.
„J3UILDING INSPECTION REPORT
PITY OF BLAIR ❑ WASHINGTON COUNTY ❑ OTHER
LOCATION -0F INSPECTION:
NAME OF OWNER: / /Z i%/`pL�G�CE
CTOR:
DATEINSPECTIO @REQUESTED: PERMITNO:
TIME INSPECTION REQUESTED:
TYPE OF INSPECTION REQUESTED:
BUILDING;
❑ FOOTING ❑ FRAMING ❑ DRYWALLyFINAL
UTILITIES:
❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP /r
[]REMOTE ❑ WATER SERVICE vC/�f�jGfo- 0
ELECTRICAL: c7 ,5®J�'"”" •
❑ ROUGH IN ❑ FIXTURES C< &AL ❑ MOTORS
❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE
MECHANICAL:
❑ ROUGH -IN []AIC (; FINAL
PLUMBING:
❑ GROUNDWORK ❑ ROUGH -IN FINAL
RESULTS OF THE INSPECTION: �SSED (SEENoTES) I
NOTES/REMARKS:
;INS n
DATE OF INSPECTIONADE: /O % i
- MTIME:
CALLEDOPPD\ TO CONNECT SERVICE: El YES El NO
WANT OFFICE STAFF TO CALL OPPD\ - ❑YES, ❑ NO
4.. .
JDUILDIN 'INSPECTION REPORT
�CITYOFBLAJR ❑ WASHINGTON COUNTY ❑ OTHER
LOCATION OFINSPE(C��TION: r N .1
NAME OF OWNERy Ji f I i I' I }r;�h �'`(9 CONTRACTOR: f f/
I'�jC1`IYI 11. x,5
DATE INSPECTION RREQUESTED: Irr�'� 7% 1 PERMITNO:
TIME INSPECTION REQUESTED:
TYPE OF INSPECTION REQUESTED:
BUILDING:
❑ FOOTING ❑ FRAMING ❑ DRYWALL YFINAL
UTILITIES:
❑ SEWER TAP ❑ SEWER ❑ SEPTIC
❑REMOTE ❑WATER'SERVICE
ELECTRICAL:
Lll�,'XTS
7/ &—/,
/PIJTLJa�/�
❑ WATER TAP
❑ ROUGH IN ❑ FIXTURES ❑ FINAL ❑ MOT(
❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE
MECHANICAL:
❑ ROUGH -IN ❑ A/C
PLUMBING:
❑ GROUNDWORK
❑ FINAL
❑ ROUGH -IN ❑ FINAL
RESULTS OF THE INSPECTION: ❑PP�.P/ASSED(SEF NOTES) FAILED(SFENOTFs)
NOTES/REMARKS- GL of
GS¢ / CG j✓J�SG 5/Z�/SCG
'DATE OF INSPECTION MADE: � TIME: 4 '
CALLEDOPPD\ TO CONNECT SERVICE: [I YES ❑NO
WANT;OFFICESTAFF TOCALL QPPD\ ❑YES ❑NO 8LR,1",,,,,'.{
e,,JB-ILDING.INSPECTION REPORT
CITY OFBLAiR ❑ WASHING77TO#UNTY �❑ OTHER
p
h °',...;ML--
LOCATIO�9FINSPEC IO/N:SJN jrl n jJ /,
NAME OF OWNER I�i�dNTRACfOR: "S ���
'DATE INSPECTION REQUESTED: PERMITNO:
TIMEINSPEC TI ON REQUESTED:
TYPE OF INSPECTION REQUESTED:
BUILDING:
❑ FOOTING ❑ FRAMING - ❑ DRYWALL - ❑ FINAL
UTILITIES:
-
❑ SEWER TAPS []SEWER ❑ SEPTIC
` ❑
❑ WATER TAP,
1
REMOTE ❑WATER SERVICE''
ELECTRICAL
[ROUGH IN ❑ FD(TURES ❑ FINAL
MOTORS
9ANENTSERVICE EMPOVICE
MECHANICAL:
" ❑ ROUGH -IN —1 A/C ❑FINAL�,Qj�
" PLUMBING:
'❑ GROUNDWORK ❑ ROUGH -IN
❑ FINAL
RESULTS OF THE INSPECTION: ❑PASSED(sEENom) yFAILED(sEENOTFsf -. .
NOTES/RFMARRS STL-> Gnr�t� OFL'C'f��
PECTOR:
OF INSPECTION MADE: Q TIME: cam!
7.
OPPD\ TO CONNECT SERVICE: ❑ YES ❑ N0
®aSMFICtSITAFFTOCAI•(,DIIPQ\ _F������-k v[� YE$ 4,❑NO BLRj4.Y-
�BI,DING; INSPECTION REPORT
1 INSPECTION REPORT
CITY OF BLAIR ❑ WASHING ON COUNTY ❑ OTHER CITY OF BLAIR ❑
/� a WASHINGTON OTHER
f LOCATION f1NEGION: LOCATION (�".F�NSCIbN: /Vu f
j.<
NAME OF OWN • CONTRACTOR: NAME OF OWNER: "
CONTRACTOR:
DATE INSPECTION REQUESTED: r 19L6—PERMIT N0: `l ' �l f �i) PERMIT NO:
c�
DATE INSPECTION REQUESTED:_ _
TIME INSPECTION REQUESTED: (� /�
TIME INSPECTION REQUESTED: - I-i. I 1
TYPE OF INSPECTION REQUESTED: "`> TYPE OF INSPECTIONREQUESTED:
BUILDING: BUILDING:.. ,
FOOTING ❑ FRAMING ❑ DRYWALL FINAL/
❑ FOOTING' ❑FRAMING El DRYWALL E] FINAL
UTILITIES: ,
UTILITIKS
❑ SEWER TAP ❑ SEWER ❑ SEPTIC ❑ WATER TAP
❑ SEWER'TAP ❑ SEWER ❑ SEPTIC
��✓ /�G�// .f ❑WATER, TAP
❑ REMOTE ❑ WATER SERVICE:
❑ REMOTE ❑ WATER SERVICE
ELECTRICAL: ELECTRICAL;
El ROUGH IN ❑ FIXTURES ❑FINAL ❑MOTORS
❑ ROUGH IN: ❑ FIXTURES ❑ FINAL ❑ MOTORS
❑ PERMANENT SERVICE ❑TEMPORARY SERVICE
�.% ❑ PERMANENT SERVICE ❑ TEMPORARY SERVICE
MECHANICAL, MECHANICAL:
El-ROUGH-IN ❑ A/C ❑.FINAL
• s,
❑ ROUGH IN E]A/C ❑FINAL
PLUMBING: PLUMBING:
❑ GROUNDWORK ❑ ROUGH-IN ❑ FINAL
. ❑ROUGH-IN E]FINAL
�KGROUNDWORK,/PASSED
RESULTS OF THE INSPECTION. ❑PASSED (sEENOTES) �AtiED (smNoTES)RESULTS OF THE INSPECTION: (sEENOTEs) FAILED (sEallocFs
Q '
NOTES/REMARKS: NOTES/REMARKS`
INSPECTOR: / _ -- �.. � � .-✓! - - _
lea
INSPECT �-
DATE OF INSPECTION MADE: .�'
y w„� '
TIME: DATE OF INSPECTION MADE. �G
,l TIME:
CALLED OPPD\ TO CONNECT SERVICE
❑ YES ❑ NO
CALLED OPPD\ CO ❑YES ❑ NO
E:
-
III AAiT !)CCTllC C'TACC Tl1 L'A T 11DDT1C� ._ - -_- ,... _. ... -._. TO CONNECT SERVICE:
'
F-1 vRc F! Nn RIR 1 wAvt r) aT7rrTa eTA T7T7 'Th r, AT i ni)OT)\ f-1 v F-1 No RI C i
10
95
99
ry
AO
OQ
PHASE 1
019
Rq- WALL -1
ZL
B ILDING PERMIT APPLI
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
8008
rnjk4" /,& .20' '
CATIO%� 166-3
G Blair, Nebraska 6 Permit
l' l (402) 426-4191
725®
Application Date: Issue Date: �T `� (p Permit Fee: $
JOB ADDRESS
Water Service
1 LEGAL
DESCR.
LOT NO.
BLK.
TRACT
❑ SEE ATTACHED SHEET
1 t
2. OWNER MAILAORESS ZIP
r J
3. N TOR MAILADDRESS `1 l PHONE
0(
LICENSE NO
4. USE OF BUILDING
Rough -in
5. Class of Work: ❑ NEW ❑ ADDITION ❑ALTERATION ❑ REPAIR
❑ MOVE ❑ REMOVE
6. Describe Work:
184Mechanical
7. Sq. Footage of Structure (Including Basement and Garage):
Rough -in
8. Change of Use From: Change of Use To:
Final
Ground Work
9, Valuation of Work: $s(b® o
Rough -in
10. Floodplain: Floodway Yes 13 No ❑ Dev. Permit
EIev.Cert.
Fringe Yes [I No [:1BFE
11. Current Zoning:
12. State Fire Marshall Required: Yes ❑ No❑
13. Special Use Permit Required: Yes ❑ No ❑
14. Variance Required: Yes ❑ No ❑
15. Minimum Setbacks: Front Side Rear_
16. Sidewalk Required: Yes ❑ No ❑ Waiver Approved
APPLICATION ACCEPTED BYI PLANS CHECKED BY
I
NOTICE
Separate permits are required for electrical, plumbing, heating, ventilating and air condi-
tioning, and septic systems. By my signature below, I acknowledge that 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 by the Building Inspectorand stamped
'APPROVED'.
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 that this permit is void if work is not commenced within 180 days,
is nod�ccomplete w In 2 years of the da of issuj n� , or if work i abandoned for six (6)
ri�ca+lfhs or to . er ' beyer is earlWt) ��
OF OWNERIQQCRACTOR OR AUTHORIZED AGENT DATE
SIGNATURE OF OWNER (IF OWNER BUILDER)
DATE
Site Plan Attached Compl���ar}sAft ched ❑
Approximate Com etion Date
Inspections Required and Fees
Utilities
Sewer Tap Water Tap
Sewer
Water Service
Septic
Remote
Building
Footings
Drywall
Framing
(before finish)
Final
Electrical -4�lv5
Rough -in
Permanent Service
Final
Temporary Service
184Mechanical
Rough -in
ASC
Final
Ground Work
/ - n
Plumbing --
Rough -in
Final
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Approved By:
Ciflv of 03jair 2313 X.S. 194h Street, 1133jair, Nebraska 411340043
1 1
IVOWAO�I
I MFISIP11ii
Phone: g g 3.9 1j
Fax phone: , � Q /- D Z, Lo y
CC:
REMARKS: ❑ Urgent
Date: Anyth / D l99 S
Number of pages including cover sheet: 3
From:
Phone: (402) 426-4191
Fax phone: (402) 426-4195
WFor your review ❑ Reply ASAP
.......... �.100011��
llt) = izo h. 18*1- Awl
❑ Please comment
i xiqw(j� 6NVo J��
� 3-0 - -7 q 1) M. / 8 " i 0 -v -v' -o
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1 Facsimile Cover Sheet
C40rnPC-ltljir:
Phone:
Fax,
From:
Company:
�' � Tip c. ' �fi��c•-z � r��l��E "'ice �r ir~�.
Phone: (400399-9353
Fax: (402) 391 0269,
Date:
Mages including this
cover page: �l
i he docurnents accompanying this transmission contain information which is CGUO 4
c onriciontial anti/or legally privileged and is intended only for the use of the individual or
entit,/ n;:fn"ts ot) mis moot, it joij•are not the intended recipient, you are hereby notified �'/-N Lk—
that any r�; -;� is+.;urs, Gopyinq, (jistribution or the taking of any action in reliance on the
contents of this telefax information ;s strictly prohibited, and that the documents should
be returned to the Facility immediately. In this regard, it you have received this telefax in Mt)2)4o —
�tror, Please 110tify un by telephone immediately at (402) 399.9353. -7&,e I
X17
EibiF_.67'199 , 14: a4 402 488-9079 h ADAMS SALCS PAGE �1
6
Y
ADAMSA SALES CO.
P.O Bax U79
l.I;ltUln, NF S 8506 -US 7!]
(402) 498,7081
FAX (402) 488-907V
DATA;:
DIiTeIVER THS PLOE$ TOi
w- fl1 a51 -1I: re,l .__ _v pagws, (including this page. If you do
' 4 ' V X11 p&ges, please call back as soon as possible!
Aj
Manufac-turors Agvjit�; - IA, NP, ISS, Mq. 14
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Oboe atones Inc. &'
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PAGE 02
P , ellN
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'J�r1h%f•�Gr, f"i, GAS ;7?�2-. ,.:
MCA
FOLLOW—" 9ERVTCE PROCEDURE Duo,la 5af8ri
(TYTS L) est- IM
LDr('%NOV> ',Curr FTX7(11ipg
fIE'LR,IE2Ri}
:'` ._. = t'•.�c r A1)VV4VL1M WO-AMLMNA FAc-r[rii PliJ r
e�::Arrc;ty�
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C;;t?L1 y'}T L ;,, AfiyOV INC
�j
1'V �J ff .G l.�'CJLY(�JVL LF�
tst.egr SPMr'. AS PGrt'A�Ai,
14i.7415�V�1?
�dur Jt.r.._ :i�r;,s ab,�v ?fa -r ii lccurEr t� use the matking Apiec.fied by
Inc, Only on p,rcduGts ceiveTed by th;s Ptoc=d4re,
ir, 3`4 v.�rCe with the a l�r_ab.e p
�u dllO.� Cf�; ,�,'&Y':'i�e n9,sement.
only at the abrve MnulacCurinq ZQcdt on
G0F'!'. si'n rhi sae�F._,r" and ar ►
�j Other p liGdb_e
Yr�,�t1:3. p
= r=p=s.-L�'.Jlu CYlk,al.-. ��1 LCTidttOfi �V= h� u 9 of G},a pt�vp hefted Manu.acturer artd
ri.r;:2�.C1t�L.S LdbOf�Cr;i?S �:,C. tiDd �S nct tot b,4 used Evc any Other
it 13 Le,]'- yJ '.JLrh
=#r- s}•tG , �ndRfSt r,� nq that It 1v not to
an,, th9t it '+11"
69 ietl—lRd CO Und@CaCI`2c5
G�r�tr�r„Jzl}
ar;y i Ll b cl,a r,e L= a�a r;, '.5 ..M,1 PcQpecty of vNDE.rWAj,EFtb
L. ''.)„z F'r4S� 5 ,_�ti� ar.0 ii rl,t C3ClS :•l -".tai:-.
1
A not-for-prorn oippizallan
dedicated to public safety end
vommnted 10 gVakly service
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'JJb 1 1: -1 1 q0 2 -tii6FJ 113% i A IAM`s _AL-E't PAGE 43
JI�I C;"h [RPh' f�� 7 (- i Gh h1G P 3/8
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���i rac-ar;sF a.ae_ )r tiaoandQ& .-
f_Sti)"Pt'Qr), all -)r, o Tf('"
�xtu. es a ad with r.h�
a,i the fr:1Ow a 1)a�j.F"3.
VIih9-1 (ir_r _,��r �n
_, 'tg._ r
1mt; or wc't iccel � r,� �iiaE?I°i c=Jia�;rzUaauthorized, Y
,�c.COrdar'Ce wl � it SOC'. to GTI , Irl andy
xa w:�eiz c r:a� bel ; ? 989 may e anarked for damp 1O.Cati'O'.18
aC4_o; drancq �..�h Seg . Gen., Page �
and ii 1. i_ h ve the foLluu�ir►g' rr �k�r a ic�r:ai}y he maiked
4, 5 (; Z 61l� per the C-UY.
a 7jrop�riat'�: tem'Qerat,-•.re indicate, ar�ake Phan 7S°C) with 4}:e
L �inditi iduai descr1-;.tion,
j indi ars za4 tabl-e i',Jr wst loeationn and
,%,L 'Jam; Ph
NKL)L's
Ljt,/�F,/1'�yb ia; 4�' aC12-48L+-50 t5
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AD41S SAES PAGE 04
F . 4/ii
'+� 2 155ued; 4 -13 -82
REVised: 6.23,95
0 M:.��+i11; '.VhL.L•-:i-"TJNi$ F A1VA$1
-'h'I'•T(r,
A
E'1}CrllL'@S
e�
enclosure,
'-a55, VIC zn, t4 , -76 RIM) Chick
Tn�namum, Osc'za! 3- i ii, (85,72 mm) diameter, 4-1/2 in.
mm) h;_gj� w: t.11(G9.9.5 rym)a
diameter. opening
ry la�E - c.uved oy ri }qe iri enc:l'Deur'? and e
riil_;5way Not pvnvid'�-
X'� t
L31 4 ir.. (76.20 b G1.�JG nlfTli h'J.I �1 DPe- i-,1qrG i3hown. C'et-- 0-6
to outlat bpx: May be omlr c a .
7 B1 i>_T1l .t.
s;sc'wr.;
d utrit um�gC,il_ aCeas I�tYC fQUIT' ti«i�tifc��tu��d by Ga6ka-Tapp,
�� ��ur:ated � ✓_i/ -4L- AOCo�Osibility barrier is
?Tiu�T'���GT CU �r�clos>.�re tG�,Y1C>�,Y .?maa�u��S 4 by
a
;zlmai4lii m with maximurc is
1 #r, ,�- ame ter hole for
- and $Uppl?r 11&dII.
W
arlda.rd vi- ma."'IMIVm �'
Z
t am�� - ,� �, may r;r marked
r 1, Ls�� ,-:A!A( . "Wa21- Mount
�U;tnt G'Yt`:+ E4 1a .fig
Dow.-, .
in
ivy- ground�of lampholder
7,-!iK - f+ 1Iek4
INrKL)Ls
Tj-
1^q%, i 5: rjt; 4(1'2 1 d 11.179 ADAMS "ALL7, PAGE 176
Dr P - 5/8
,1 r
issued; 4-13-82
An'l Report Revised! 2-12-91
t
IA K82-14582)
�st:s'. 3'ile stnerd] design,rlag and arrangement shallbe
as AUs;tr-ated unless v,-ubiafi_ionn zre mpe(--iti.GaIIV described,
nis PnOtn Shaws the ditfu ers that may be providad with the
doscribed Ln P�q. 1 and the Fixture dp rrihk-d, in
lU
below, Each diffuser h;s• a Aomi.nal 2-3/d i.n. diameter
for lamp arlri a lav of anter edgea se:ure;i by ridge ir1
tn-, :s-NLt v aou thumo -,;Crew,
ri005 _. Amber �-Io,;.ed e �,s .3ii6 in. (4,76 mm) th.Lck
rc 7iirui ,�4�i/ in. (ll 30 mn} hign, in, (114.30 Mm,)
diainetev at widest port toll marrowing to 3 in, di4merer at
w31P$t portion Parrawinq to 3 In, diamet,�r at flat top.
4✓07 Same as Lt m dx epi glass is clear.
aL. n7c b 7a3 RE--cognit-eA c.ptnponelat plastic (QMTZ2),
1 x:et I:YgS l=%(il Ti l,I.1r�a]G1tLU71:}P4 b �aPn@yam 31 )[�GthL1G.
U 11mt-Lris i)Ll r-"�f{.1 `J il'.. (�l'.].. mm)
V0, 4- 1311 - Waite r
r �->- - -- 3 = 4.� � � 31,i 6 -jr,, ( a -76 rrL{rt) t h i c k
5 in, high nVOrAllr 5 in. diameter at widest parr
rnarrot-r nq Lo 3-3/4 in. (95. tri??) didtr;eret at tp.
:at cda, 4-/3-=Ct dear glass 3/16(h milt) thick
'r
nii; 1 mErr. hl,;h
(z T.4 Irt} di�;neCer at w;
d e t)a4t, i-1%7 in. (88.90 mm)
aiamet<< nr- part, 3-7/8 in, (98.41 nTj) d ametpr
�lon` Clat t,ao,
Amber colorpci g;.a � _6 zr. G,76 mr) think
n= fit umr� � !w •1 c1, (14b_05 I) --3/1h in, (7108.2 kir}
'elide at ltle t pati. ?-1/2 In, (88.90 MPI) diameter at
air--owp t Part, 3--3/4 if",, (9'a.;5 ren) diameter along Cop,
at . I iii 4�rllr:� ,�i f }� ;n. 4 , 76 irm) thicx
i -h`. I if111i1ITiU!10 , 5 111 121 mir) high �verA;lr 5 11. () 27 I11,'11)
1,ar;teti.r
�F yat= "dv. 4=x;,347. � at;iu� �� Zfel�� 7 �a:c�PpC rttade Df �lrGKe3d
9 «'S.
IM) thick, each'
'i����_ �➢�f3 in (��. �� ntm) 1�ng with vpening� Y}'loWt1,
b'roVi eC ';;Gh gctb A cound SC'T'ew AhL W�� r
ei'. not shown, May
Dt'JjI3Gb : gn
Libit'b%19yt lfl: q,I 4U''-4lH-y{1iy APAh1' `;A E` PAGC 01,
;GI`, X16 'yh• %��,'�.�:f'f1 `�F-, LTC-W!-Iru. P�5'b
arm r,,f tet:i 1�Ej.88
C r
z;5a i, P��ms znd �, exe�4t
p �d a1 t 6 e,�:o-atI;re Rxten_ac:r end Yrntencied t `,
A 3/32 ;,n. (; .38 mm) dia=meter veAphoie
lacca li► wireway port'sctt of �v.ixtu:e. Two 3/32 In.
3 mm) diar^e,�ex weep i0les are provided on bottorn r�
d,
of ;a tr
ie at ri:fi
a a> anclosuie, fits ,over
long Nipple ex4endang from enclosure
arld 4 EOcu r ed by nut.
iu�: � o I tem zed f in ac cordanre ks'!
`t�lrrdard iar maximum too W lamp, Also marked "suitable For
Wet LOcOt.i.onz," lwayj Mou -r, Only," and "For SUvp q
U$e Wire Suit_ab-e Yor. At Least, °4°C.
E;Y,WL"-
r�
Y
0�1 0
Z
706
N .
I
Au2..
750 7,�o
/q •
A VC
0�1 0
Z
I F (j A I- P I PT I Q N
" rwj�)J) !f)e NF 1/4 pit Section 1 1.
60, P M WiO nqton County, Nebraska,
(Op 'V'VOSt 11`10 of Said Mock .3, Neff's Fiir,(
11:7 '-Pt, yh,0 N69'30'227, a distam o of 2811 (0(31;
,qa:ll r tjH 7'3 44 luet (Q the N00hWest Comer )f sa6l
E al0f)g the N, %0 h I ine of siiij For, k
t,:p A,], 1? (100 ts Ll 1: A PO,r)t On the ';Q(.,ther!y light of,
4t W -11,1v2d; F"lill Ullo Elko be:flq 1hr
1ao A(Jrj;(,op, (hence ,3owhf4,3VPrjy dlon(j sold
do ;F-1 & Nr tifwvpaiv?n 3
7p
d,,L,(a(-c,e 0 386.2P,
a r115tir of flffPf.,; IQ the
IhP0rPr SOO C", 1 ii 'W along
d ',vtt to the
i)pIng tha
-C yted in NF 114 of Se(,iio(I
P 1-f S8'+.1 3, `0114's Vim Addition, sail
a I ctO Ih,' NO(Of !,,-le of Tax I ot 42(),
yl: !!(I 1` ?
441 14 foet I,-,
11h
9.1j Ch1.
of
68 1)