BP1014MECHANICAL PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
(402) 426-4191
Application Date: ~ ~ " f ~ ~ ~ ~P
Permit Fee: $ ~~J 4~a
JOB ADDRESS ~ ~l)~ ~ ~~~ f~~~~
1
LEGAL
1 • DESCR. LOT N0. BLK. TRACT
O SEE ATTACHED SHEET
2. OWNER MAILADDRESS ZIP PHONE _
~t~ ~ I~- U~rY1 h r ~~ <~rn ~. ~ Z ~-
3. CONTRACJOR M r~ /~ ~ MAILADDRESS ~/' PHONnE /, (~,~ LICENSE NO. ~n
6U? L ~~~ .,f
~ ~~
7 ~Y~/rn~
~~ ~~,
~
~
~
r
~
~ ~
n
:
~c~J
V
~
~ Y
~~ / ~
~I ~
C~
I
' V
4. Class of Work: O NEW RESIDENTIAL O NEW COMMERCIAL O REMODELING/ADDITIONS EPLACEMENTS
5. Describe Work:
Comments:
MECHANICAL PERMIT FEES
Forced Air Systems
Per Unit Commercial/Residential (New) ...................................... $25.00
~ C>~ ~ (~ ~ ~ ~ Ijo ~~lP
Air-Conditioner Unit ~
Per Unit Commercial/Residential (New) .....................
,.~............ $10.00
II
.~(l~K~-~~ jf1-(S-~j(~ f
\~
~~~~
Refrigeration Units/Coolers
Per Unit Commercial (New or Replacement) .............................. $10.00
NOTICE
I hereby certify that I have read and examined this Forced Air Systems/Air Conditioner
application and know the same to be true and correct. All Unit Replacement ~ ~ ` ~~
provisions of laws and ordinances governing this type of
work will be complied with whether specified herein or not.
Per Unit Commercial/Residential (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.
Permit Issuance Fee ............. $15.00 ~ = ~ ~ C~
TOTAL ~v • ~~ /
~~' N7RA4TOfl ~ HORIZ A~ENT
~~ ,~S-~/~• Current License on File l~l(es O No O NA
,\
'CtATE
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Comment: Approved By:
~rP
OUNDS PRTG: Blair, NE Rev. 12/9
Wi `~`
. , o~ OJ
~ promise
City of Blair
218 South 1 bth
Blair, Nebraska 68008
402-426-4191
Fax - 402-426-4195
November 7, 1996
Dave Humphrey
1635 Nebraska St.
Blair, NE 68008
Dear NSr. Humphrey,
On October 14, 1996; Getzschman Heating and A/C, Fremont;
obtained a permit from the City of Blair for installation of a new
furnace at your residence.
Upon completion of this project, the City Building Inspector
needs to do an inspection. Please contact our office at your
earliest convenience to schedule an inspection.
Thank you in advance for yo,_zr cooperation in this matter.
Sincerely.
Brenda Taylor
Administrative Assistant
EOU~LNOUSINC
`: OPPOHNNITY
I/
I/
BLR1