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BPE0583The City of Blair Building Permit Detail Permit #: 0583 Issued: 12/03/1998 Completed: 12/07/1998 Owner: Hansen Agency Address: 1636 Washington Street Blair, NE 68008 Phone: Section: Township: Subdivision: upgrade service to 200 amp Inspections Date By 12/07/1998 DEM Remarks Type: Electrical Miscellaneous Valuation: Range: Lot: Electrical Permanent Service Permit Fee: $25.00 Issue Fee: Deposit Amt.: Receipt #: Block: Pass Contractors Hayes Electric, Refrig., Htg., & A/C General Contractor Permit # Issued ELECTRICAL PERMIT APPLICATION Jurisdiction of City of Blair, Nebraska 218 South 16th Street ~ `~~ Blair, Nebraska 68008 ,~,~, ~ (402) 426-4191 Permit. Application Date: ~~~~~~ ~~~~ t~ Permit Fee: $ ~~~ JOB ADDRESS ~~ u LEGAL 1 • DescR. LOT NO. BLK. TRACT O SEE ATTACHED SHEET 2. OWNER l ~,~ n ~ MAILf~D RESS r ~ f-j 1 ~ ~ ~,,~ ZIP p- ~brl l~ O c~GB PHONE r3. CONT A TOR .Q C ~ I ~ J ~ MAIL ADDRESS I ~ P~~n ~~ ~~ /~ I O LICENSE NO. 4• Class of Work: O NEW RESIDENTIAL ~ NE W COMMERCIAL O REMODE L ING/ADDITIONS UPGRADE SERVICE 5. Describe Work: ~ ~ ~ .~ ~ r J ~ ~, ~ ~ ~~ 6• Current License on File .Yes O No O NA New Service Fee _ (Amp Fee + $2.00 per branch circuit) ELECTRICAL PERMIT FEES ~ ~ ' ~ 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 Fire Alarm System $10.00 ................. 301-400 Amp Fee ............................ $ 42.00 Signs .....................................$15.00 401-500 Amp Fee ............................ $ 55.00 501-600 Amp Fee $ 67.00 ............................ Miscellaneous Apparatus ...... $11.00 601-700 Amp Fee ............................ $ 80.00 AC/DC Circuit ........................ $5.00 701-800 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 IF OVER 1000 Amp Amp Fee 1st 1000 Amp Fee .:..................... $117.00 Each additional 100 Amps........... $ 13.00 Amp Fee + Circuit Total New Residential: (Finished Ar ea) NOTICE Single/Two Family Dwellings I hereby certify that I have read and examined this sq. ft. x .045 application and know the same to be true and correct. All provisions of laws and ordinances governing this type of Modular/Manufactured Homes ....... $30.00 work will be com li d ith h th ifi d h i t p e w w er spec e e ere n or no . The granting of a permit does not presume to give authority Receptacle/Switch Outlets to violate or cancel the provisions of any other state or local Fixtures x $.75 law regulating construction or the performance of Smoke Detectors x $3.00 construction. Residential/Commercial Appliance # Fixed Outlets x $3.00 Motor(s) x $3.00 ~.~, ~~- ,,,,,~ Power Apparatus (220 Volts) SIGNATURE OF CONTRACTOR OR UTHORIZED AGENT # Apparatus x $3.00 _ I ~, - 3 •- ~ g~ Permit Issuance Fee ............. $15.00 ~ ~~ ~ ~ DATE TOTAL WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Comment: Approved B : / ~n11Nf1S PRT(i .Flair NF ne., oro~ 1 1 . ..__. _ ._-r-_-~__._-____-.___~._.,I 'BUILDING INSPECTION REPORT. ,~ CITY OF B LAIR [~ WASHINGTON COUNTY : ~ OTH~ L ~ CATION OF INSP ON: ` NAME OF OWNEI.~~fY C/ ~-}~~!~~l d ~~~C-: ` ~~ ~ ~C CTOR• i DATE INSPECTION REQUESTED: ! ~-• . ~I J~ PERMIT NO: (} ~._ TIME INSPECTION RE UESTED: L'~/j 1 1~~ ~ ~ ` Q 1. 11 •I I • ~:~~ ' TYPE OF INSPECTION REQUESTED: BUILDING: ^ FOOTING ^ FRAMING ^ DRYWALL ^ FINAL UTILITIES: -- [^SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ~ REMOTE ^ WATER SERVICE ELECTRICAL: ^ ROUGH IN ^ FIXTURES ^ FINAL ^ MOTORS D ~ p ~t 4 PERMANENT SERVICE ^ TEMPORARY SERVICE , MECHANICAL: ^ ROUGH-IN ^ A/C. ^ FINAL PLUMBING: Q GROUNDWORK ^ ROUGH-IN ~ FINAL RESULTS°OFTHE INSPECTTON:.~SSED~sEExoT~s> ^FAILED~S~NOTESI . NOTES/REMARKS: - D TE OF INSPECTION. MADE: O ~ ~~ . ~~ p TIME: C. ~ , ~ ~ '- b ~~ b TO CONNECT SERVICE: YES Q NO WANT OFFICE STAFF TO CALL OPPD\ ---- - -_ _ ^ YES ^NO BLR 1 ~._.