BPP0616PLUMBING PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
(402) 426-4191
Application Date:
~-I~' ~"~
Permit Fee: $ S " ~
JOB ADDRESS n 1 N ,~ f` ~ S~
/ V V v
LEGAL
1 • DESCR. LOT NO. BLK. TRACT
O SEE ATTACHED SHEET
2. OWNER ~ f ~ i ~, ~~/ ~ ~ I MAIL ADDRESS ZIP PHONE
3• CONTRACTOR i ~ MAILADDRESS PHON
JU n ~1 ~~Z Bo'x 2~3/ ~~GUr LICENSE NO.
~fZ(or' 9'S~O
4• Class of Work: O NEW RESIDENTIAL O NEW COMMERCIAL O REMODELING/ADDITIONS REPLACEMENTS
5• Describe Work: ~' ~ ~~0.s~1 •t
Comments:
PLUMBING PERMIT FEES
COI ~~{ "~ J
Type of Fixture No. /~ ~
`
Kitchen ..................................
$8.00 x ~
Bath ....................................... $8.00 x
Rough-In Bath ....................... $4.00 x
Utility ..................................... $5.00 x
Water Heater ......................... $3.00 x
Outside Water Faucet ........... $3.00 x
Water Service ........................ $10.00
NOTICE Sewer .................................... $10.00
I hereby certify that I have read and examined this Groundwork ........................... $10.00
application and know the same to be true and correct. All
i
y~
provisions of laws and ordinances governing this type of Septic Tank & Laterals .......... $10.00 D-
work will be complied with whether specified herein or not.
The granting of a permit does not presume to give authority
Lawn Sprinkler System ..........
$10.00
to violate or cancel the provisions of any other state or local
Sprinkler System ...................
$30.00
law regulating construction or the performance of (Commercial)
construction.
Permit Issuance Fee ............. $15.00 ~ S - O U
/ /
SIGNATURE 0 CONTRACT R R AUTHORIZED AGENT
TOTAL Zs --~~
DATE Current License on File es O No O NA
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Comment: I Approved By: ,n ~ I I
1,~ i~ Div( ~,-_~
POUNDS PRTG.•Blai~, NE (r Rev. 12195
/6S 54Fi
LOCATION: BLdrGoltCmb
N Hwy 75
BWr
DATE: 5/24/97
HOLE 1
HOLE 2
J&L TESTING SERVICE
RR #2 BOX 227
BLAIR NE, 68008
(402) 426 - 4851
HOLE 3
TIIV~ FILL READIN LOSS FILL READIN LOSS FILL READIN LOSE
7:00 6" 6" 6"
7:30 6" 4.25 - 1.75 6" 2.75 3.25 6" 2.25 3.75
8:00 6" 4 2 6" 2.75 3.25 6" 2.5 3.5
8:30 6" 4.5 1.5 6" 3 3 6" 3 3
9:00 6" 4 2 6" 2.75 3.25 6" 2.25 3.75
9:30 6" 4.25. 1.73 (" 2.75 3.25 6" 2.5 3.5
10:00 6" 4.25 1.75 6" 2.5 3.5 b" 2.5 3.5
10:30 6" 4.25 1.75 6" 2.75 3.25 6" 3 3
11:00 4 2 2.75 3.25 3 3
TOTAL LOSS 14.5 26 27
SOIL ABSORPTION TEST DATA REPORT
PROPERTY WHERE SOII. TESTED:
Owner' Blair (~oN Clab
SOIL TYPE: BiltyClay Bltty Clay Loam X
Bihy Loam Clay Loam _
Dates of Test: Mai 23.1997 to Merv 24.1997
PERCOLATION TEST DATA FILE
Address: NHw' 75
Blair,l~ 68008
Bandy Loam
Bandy Clay
Weather: Pecip:None Temp: 50°
PERCOLATION REA DIlJG5 RESULTS
START fit`TD Elap:ed Water Level Percolation
Time(Hr Min) Water Level Tiroe(Hr Min) Time (Min) Drop (In) Rates(Dtin In)
-7:00
A)yt 6" 11:00
A.iVL 240 14.5 16.55
7:00
AM 6" 11:00
AM 240 26 9.23
7:00
AM 6" 11:00
AM 240 27 8.89
S
Q
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A
R
E
F
E
E
T
O
F
L
A
T
E
R
A
L
P
E
R
B
E
D
R
O
O
M
350
300
230
200
150
100
50
0 10 20 30 40 50 60
PERCOLATION RATE IN MINUTES PER INCH
JdcL TESTING Bum ofpercletion rates: 34.67
RR#2 Box zz7 Average ofrates: 11.56
42c-4esi sx o6~97i a~,~ p~ rte: 10.91
/~~ Ltd lr~Y~+ / 67 ~' ! ~ /~
Sec 2 ~ - l ~'" ~~
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BUILDING INSPECTION REPORT ~~'° ~-= =~~~
^ CITY OF BLAIIt ^ WASHINGTON COUNTY ^ OTHER
LOCATION OF INSPECTION: _ ~ :-~-~~`\ l-!~ ~ ` ~=~-A-•*=~-~
U L~'
NAME OF OWNER: CONTRACTOR: ~~~`~~"~~
. DATE INSPECTION REQUESTED:. ~~~~ ~ ~ ~ 'PERIv1ITN0:
F. ~ (~
-TIME INSPECTION REQUESTED: l t
TYPE,OF INSPECTION REQUESTED:
BUILDING: •
FOOTING ^ FRAMING. ^ DR.YWALL ^ FINAL
UTILITIES: < <~.~-`~-~ ~-~
- ^ SEWER TAP ~ ^ SEWER ASEPTIC ^ 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 ~s~xorES> ^ FAILED ~sFE xoTES~.
_~
NOTES/REMARKS: ~ ~ ~ ~ ~ ~~~_~`(
DATEOF.INSPECTIONMADE:~/~~- TIME: / f ~' ~ ~-J
~-- `' -
CALLED OPPD\ TO CQNNECT SERVICE: ^. YES ^ NO
~_
WANT OFFICE STAFF TO CALL-OPPD\
^ YES• ^NO
i -=:. ,. -
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