E0472The City of Blair Building Permit Detail
Permit #: 0472
Owner: Guy Sisler
Issued: 07/08/1998
Completed: 07/14/1998
Address: 12440 Ann Drive
Country Estates Lot 37
Blair, NE 68008
Phone:
Section: Township: Range:
Subdivision: Lot:
Connecting feeder to Mobile home & wiring A/C.
Inspections Date By
07/14/1998 DEM
Remarks
Contractors
Huntel Systems
Electrical Final
Type: Electrical Miscellaneous
Valuation:
General Contractor
Pennlit Fee: $29.00
Issue Fee:
deposit Amt.:
Receipt #:
Block:
Pass
Permit # Issued
ELECTRICAL PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008 0 4 7 2
(402) 426-4191 Permit
Appl'cation Date: ~ ~ ~ ~ I
- ~ nl ~
Permit Fee: $ _ o~~f - ~~
J B ADDRESS
~Z~4C~ 11' I~
LEGAL
1 • DESCR. LOT N0.
~ ~ BLK. TRACT ~,,_/
C OZL~I~f pIU ~
O SEE ATTACHED SHEET
2 OWNER MAIL ADDRESS ZIP
G-U ~ S ~ s l r SGT. nr1-c__ PHONE
,3• CONTRACTOR AIL ADDRESS
~ef-F Sho(~t2,. nfi/ PHONE
~o- ~x ~fov LICENSE N0.
z~-~zy.
4• Class of Work: O NEW RESIDENTIAL
O
NEW COMMERCIAL
O REMODELING/ADDITIONS PGRADE SERVICE
-
_ I
5. Describe Work: CQI(1 t°L~ !~1 ~C C~.-~ / 1
..J~CJ'~l (~ ~Y1Q.. t- w~~'/ ~ 19~ -L.
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
301-400 Amp Fee $ 42.00
............................ Fire Alarm S stem $10.00
y """"""""'
401-500 Amp Fee ............................ $ 55.00 Signs ..................................... $15.00
501-600 Amp Fee ............................ $ 67.00 Miscellaneous Apparatus ...... $11.00 / ~ • d
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
IF OVER 1000 Amp Amp Fee
1st 1000 Amp Fee ....................... $117.00
Each additional 100 Amps ........... $ 13.00 Amp Fee + Circuit Total
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 correct. All sq. ft. x .045
provisions of laws and ordinances governing this type of
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n or not.
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
construction.
Residential/Commercial Appliance
# Fixect Outlets x $3.00
Power Apparatus (220 Volts)
# A
r
t
$3
00 U~
~
ppa
a
us x
. •
R OF CONTRACTO R AUTHORIZED AGENT
~~- 7~ - ~g Permit Issuance Fee .............$15.00 ~ S• ~~
DATE
TOTAL
2-~
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Comment: Approved By:
'OUNDS PRTG.-Blair, NE Rev. 12/9!
- - --- -- - B--- --- - - -- - - -- - ---- __ -- - -- - - -- --- -
UILDIN T
G INSPECTION REPORT
~ ~ n
F ~ CTI'1' OF BLAIR ~ WASHINGTiON~ COUNTY ~ 0'~ER
LOCATION OF INSPECTION: ~ ~ `~ ~ ~r-~-i~ ; `; 'l ~}~ '~ ~',~ (~ 9 ~ ~~ ~-~~ ~
it ` ` }~-~ i }
~ NAME OF OWNER: r-~%`~ ~ ~ `~ ~ CONTRACTOR: ~ ~ \.~~~ ~~ i~i,L~i 1 ~~ ! .I .
` ~--, `-~
DATE INSPECTIONREQUESTED: ~ _ ~~~`"~~ pERMITNO: ~~~ !
t
TIME INSPECTION REQUESTED: ~_~~.~;.'~? ~ ~~~
TYPE OF INSPECTION REQUESTED:
_-
BUILDING:
(
^ FOOT~TG ~ FRAMING ^ DRYWALL ~ FINNAI,
. ~ UTILITIES:
SEWER TAP ^ SEWER ~ SEPTIC ^ WATER TAP
' ~ Q REMOTE ^ WATER SERVICE
~' ,~\
~ ELECTRICAL: ~ ~ T -~1~.~,#n,~+~~ i~-~- -~~"j'°~~ ~~~ ~-~'~t,~~~
f D~ROUGHIN Q'FIXTURES [FINAL ^MOTORS ~~~~'`r`~~.
^ PERMANENT SERVICE - "
~ 1 Q TEMPORARYSERVICE-
~ MECHANICAL: i
i
(._ ^ ROUGH-IN ^ A/C ^ FINAL
j -
i PLUMBING:
_ ----
GROUNDWORK--- - - - --------
0 ROUGH-IN ~ FINAL ~ - .
~. RESULTS OF THEIfVSPECTION: PASSED ~sEExo~r~s~ FAILED ~sEExoTas>
'~ ~ ~ - NOTES/REMARKS:
~: ...
C
r
i
.INSPEC
ti, ~ _ ~
DAT7; OF W$PECTIONMADE: TIMEi ~~G--
i
. ~ CALLED OPPD\ TO CONNECT SERVICE:. ~ y~
NO i
• '- • 'WANT OFFICE STAFF TO CALL OAPD\
~- ~ ^ -YES ^ NO :BLR 1 ~