BPM0026
The City of Blair Building Permit Detail
Permit #: M0026 Issued: 04/07/1998
Completed: 04/09/1998
Owner: Wilbur Clements
Address: 2131 Lincoln
Blair, NE 68008
Phone: 402-426-3312
Section: Township: Range:
Subdivision: Lot:
Replace 90,000 BTU furnace & 2 1/2 ton A/C.
Inspections Date By
04/09/1998 KAR
Remarks
Type: Mechanical Miscellaneous
Valuation:
Mechanical Final
Permit Fee: $35.00
Issue Fee:
Deposit Amt.:
Receipt #:
Block:
Pass
Contractors
Beebe Refrigeration, Htg. & A/C, Inc. General Contractor Permit # Issued
MECHANICAL PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008 '~)~)')Qd~f®
(402) 426-4191
Application Date: ~ ~~~
Permit Fee: $ - r
JOB ADDRESS ~ ~ ~ 1 ~ ` ~~
~ 1
LEGAL
1 • DESCR. LOT NO. BLK. TRACT
O SEE ATTACHED SHEET
2. OWNER E ~ " h~ ~'^ MAIL ADDRESS
`.-J~.X I Y Y ZIP ~P~ E
MAI DRESS
,3• CO RAC i A ONE LICENSE NO. /'
4• Class of Work: O NEW R IDENTIAL O NEW OMMERCIAL O REMODELING/ADDITIONS ~ REPLACEMENTS
5• Describe Work: ~ ~_ ~ ~~~t ~ t ~~ ~
Comments:
MECHANICAL PERMIT FEES
Forced Air Systems
Per Unit Commercial/Residential (New) .............. ........................ $25.00
Air-Conditioner Unit
Per Unit Commercial/Residential (New) .............. ........................ $10.00
Refrigeration Units/Coolers
Per Unit Commercial (New or Replacement) ...... ........................ $10.00
NOTICE
I hereby certify that I have read and examined this
application and know the same to be true and correct. All Forced Air Systems/Air Co ditioner
Unit Replacement ~~ ~ ~ • `~,,
U `-
provisions of laws and ordinances governing this type of
work will be complied with whether specified herein or not.
Per Unit Commercial/Resid ntial (Replacement)
........................ $10.00
The granting of a permit does not presume to give authority
to violate or cancel the provisions of any other state or local
law regulating construction or the performance of
construction.
P
it I
F
$15
00 i ~ ~
!~~ ~~~
erm
ssuance
ee .............
.
~' Q~
,
TOTAL ~
SIGN TURE OF CONTRACTOR OR AUTHORIZED AGENT
~--~~' ~~ Current License on File °~Yes O No O NA
DATE
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Comment: Approved By: '~
POUNDS PRTG: Blair, NE Rev. 12195
- ~_ _ _. - - - = - - - = =-- -
~
B VILDING IN
SPECTION : - -
/ REPORT
CITY OF BLAIR ^ OTHER
l_ ^ WASHINGTONCOUNTY
LOCATION OF~NSPE
CTION: ~. i -.~ 1 ~ • ~~~~~ ~-~
//
NAME OF OWNER: l~ -r ..~-1•-°~ _~?.,Y~~~
CONTRACTOR:
~~ C=' ~°~'
DATE WSPECTIONREQUESTED: /
PERMI ,
~
j
~~
~
TNO:
TIME WSPECTION REQUESTED: 7~' ~ ~'y'}~-
~" ~"~/l
_~
j~
.,
¢
TYPE Or INSPECTION REQUESTED:
BUILDING:
I
^ FOOTING [] FRAMING ^ DRYWALL
^ FINAL •
UTILITIES:
^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP
^ REMOTE ^ WATER SERVICE
ELECTRICAL:
^ RO UGH IN ^ FIXTURES ^~~rAL ^ MOTORS
^PERMANENTSERVICE ^TEMPORARYSERVICE'~
MECHANICAL: ,
~-~•
^ ROUGH-IN ^ A/C ~k~F~AL
PLUMBING:
^ GRO
UNDWORK ,
' ~ ^~ROUGH-IN ^ FINAL
- -
RESULTS OF THE INSPECTIO PASSED csEE rroTES~ ^ FAILED ~s~ rroTEs
NOTES ~
/REMARKS
- GI •
.CALLED OPPD\ TO CONNECT SERVICE:
` ^ YES ^ NO
" WANT OFFICE STAFF TO CALL OPPD\ ~_
-___ - ^ YES
- ^NO BLR 1