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BP7230JOB ADDRESS LEGAL 1' LOT NO. BLK. TRACT ~ ~ >'_ ~"~' . ~ ~ ~~ ~'~I -°°Ci~'C(~' ~ SEEATTACHEDSHEET L~~ DESCR. ' 2 OWNER '~ p-(...- ;'~ !(/~ „,~ MAILADDRESS ZIP =- r~i ~~ ~~` PHONE 3 CONTRACTOR MAILADDRESS r~ / PHONE ~ i LICENSE NO. USE OF BUILDING ~ r ~°~~ d' f~~ ~' 5. Class of Work: [~ NEW ^ ADDITION (ALTERATION ®REPAIR ^ MOVE ®REMOVE 6. Describe Work: ~~~"i,~c~ ~ Cti ~~~~C_.~ ~ ~,~,~:~! ~~_~~s+~~"t'~~('CiY`~ T ,; ~~ L ~~ c?C%~~~_C.~--~ ]. Sq. FOOtage Of StrUC1Ure (Including Basement and Garage): ~~ ~~~ `;(~ ~ ~ ~~, $. Change of Use From: Change of Use To: g, Valuation of Work: $ ~ ~Z , ~ ~~ ~, ~~~ ~ Floodway Yes^ No ^ Dev. Permit 10. Floodplain: F i ^ Elev. cert. r nge Yes No ^ BFE 11. Current Zoning: Site Plan Attached Complete Plans Attached ^ 12. State Fire Marshall Required: Yes ^ No^ Approximate Completion Date ~~~~~ ~ ~ f ~~~ ~~ Inspections Required and Fees 13. Special Use Permit Required: Yes ® No ^ utilities Sewer Tap Water Tap 14. Variance Required: Yes ® No ® sewer Water service 15. Minimum Setbacks: Front Side Rear septic Remote 16. Sidewalk Required: Yes^ No ^ Waiver Approved Building APP CATION ACCEPTED BY ~~~ ~ ~~ ~` PLANS CHECKED BY PPROVE FOR ISSUAlJ E BY ~ ~ Footings Drywall (before finish) ~--~~~~ Ca ~ ('~ `~ I~x ~~ NOTICE Framing `r Final `° '`~~ `~ /~~~~~ Separate permits are required for electrical, plumbing, heating, ventilating and air condi- tinning, and septic systems. By my signature below, I acknowledge that payment of the Electrical building permit application fee does notconstitute issuance of this building permit. /further agree that construction covered by this permit application shall not be commenced until I have receivedaco ofthisa Iicationformsi theBuildin lns ectorandstam ed nedb Rou h•in~ P t S i g g p p py y g ermanen erv ce 'APPROVED'. hereby agree t e or he p op se k in accordance with the specifications set forth Final / Tem ora Service p ry above and in c r ce /ordinances of the City of Blair and the S ate of Nebras nd t i is void if work is not comment within 18 days, is n c p tl a e date of issuance, or if worms a andon d~six ) / t n r s iest~~ ~' Mechanical ~ti:~~~~6~ ~=~~~~~ ~ ~ ~~"~ ~ ~ Rough-in ~ ABC SIGNATURE OW R/, RACTOR OR AUTHORIZED AGENT ATE '°'' Final ar` e'f; ,~ _~- $ ~~~~~s. r~ - Ground Work ~~r E Plumbing SIGNATUREOFOWNER(IFOWNERBUILDER) DATE Rough-in `" Final' WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YQUR PERMIT Comment: Approved By: ~ POUNDS PRTG: Blair, NE ` % Rev. Oa~95 ~`~ 6 Application Date: -y ~ ~ (~`°~ Permit Fee: $ JOB ADDRESS ~s ~. ~ ~ - ~-' LEGAL ~ • DESCR. LOT No. BLK. TRACT O SEE ATTACHED SHEET OWNER °~ ~ - ,'- _ t -w MAIL ADDRESS 2. ~~`i, ~t.~~l ~~ ~ ~`l`t'~11''~ ZIP PHONE CONTRAC OR . A L ADDRESS ,, PHO E r .,~ d ~ LICENSE No. ~ -s 4• Class of Work: O NEW RESIDENTIAL O NEW COMMERCIAL EMODELING/ADDITIONS ~ REPLACEMENTS 5 ~ ~ - Describe Work: Comments: MECHANICAL PERMIT F S Forced Air Systems ~~~; a ~u~(- 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 N®TIC 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 n -a. l ~~~~ • ~ a T®T~4L ~ _. ° _. ~ t ~ .~ ~_ -- Sf ATURE OF CONTRACTOR OR AUTHORIZED AGENT b _ ~,, f Current License on File Yes O No ® NA DATE WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS,YOUR PERMIT Comment: POUNDS PflTG: Blair, NE Approved By: ~r ~ s T ~f d flev. 12/95 Application Date: ~ ~`° ~ ~ Permit Fee: $ ~ JOB ADDRESS ~ - ~. ~ ~ ~ ; f ~ °~~ ~ E~`~~~„ ~'°, LEGAL j • DescR. LOT N0. BLK. TRACT O SEE ATTACHED SHEET 2 OWNER ~ ,,~ °- M IL ADDRESS ZIP PHONE ~ ~; ~ CONTRACTO MAIL ADDRESS ,~ PHONE LICENSE NO . 9 if/ 3 4. Class of Work: O NEW RESIDENTIAL O NEW COMMERCIAL ,,REMODELING/ADDITIONS ®REPLACEMENTS " ,~ ~. Y .e g ~j S 5. Describe Work: ~ _ JCS"~~ t c ~ ~"' i'~ ~ ~ ~ ~pq ~ ~ c ~t~ ! ( ~` P x`71 ~ G~ ` C . x , f 4. ~, ~~ - ~ : ~ Comments: MECHANICAL PERMIT 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 N®TIC 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. ~ 3 Permit Issuance Fee ............. $15.00 ~ ~`~° ~_ ~~ ' T®TAL ~_~,~ ~ .'~~ -~ ~~.." SIGNN URE OF CONTRACTOR OR AUTHORIZED AGENT 1 . - ~ '`~ Current License on File Yes ®No O NA DATE WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS Comment: Approved By: YOUR PERMIT ~, POUNDS PRTG: 81aI4 NE Rev. 1295 ~~._~~1. Application Date: ~ 6 ~~~ ~- ; ~. Permit Fee: $ JOB ADDRESS _ I ~ ~ ~ ~ . ah~~~ ~ " • e € F . ~ ~~ LEGAL 1 • DESCR. LOT NO. BLK. TRACT 8 SEE AT T ACHED SHEET OWNER ` ~ } . _~ ~ ~ ' ~~ , MAIL ADDRESS ZIP PHONE ,3• CONTR TOR ~ MAILADDF~ESS PHONE _ LICENSE NO. ~ ,~ ,.u _ .., .~ 4• Class of Work: ®NEW RESIDENTIAL ®NEW COMMERCIAL EMODELING/ADDITIONS O REPLACEMENTS ~ a , . ~~ _ . 5• Describe Work: ~ ~ - ~ ~~ ~ ~, Comments: MECHANICAL PERMIT FEES Forced Air Systems ~ ~ jy 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 N®TIC 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 $15.00 ~ ~~- T•O•TAL '~~.~ , ,~~ r SIGNATURE OE C NTRACTOR OR AUTHORIZED AGENT ~ Current License on File ~ es O No O NA DATE WHEN PROPERLY VALIDATED (IN THIS SPACE) THI$.,IS YOUR PERMIT Approved By: € a_, , ~ -- POUNDS PRTG: Blair, NE s'~~ Rev. 12/95 :~ _ ~.b Application Date: - - ( ~k4= Permit Fee: $ ~~~ ' JOB ADDRESS ~ ( a ~ ~~ . ~ ~a` i a ~~ ~ ~ ~ ` . , . t ~ LEGAL ~ • DESCR. LOT N0. BLK. TRACT O SEE ATTACHED SHEET 2 OWNER ~°°~ .~' ~>~ ~~ ~ ~ ~ ~ 'MAIL ADDRESS ZIP PHONE 3 CONTR T R Q. MApILADDRESS g _. PHOt~IE ( ~ _ LICENSE NO. "~ ~~ 4. Class of Work: ®NEW RESIDENTIAL ®NEW COMMERCIAL EMODELING/ADDITIONS O REPLACEMENTS 5 Describe Work: ~ g$^, ~ ~~ gd ~ ky '' ~ .~ ~ ~ rt~I v~ • ~ ~ ~~i ~ ~ ~ ~(~ R M ~~ ."x .; < } s - ,1 ,^ -'.-F C F a '~.A ..J 4~.~ ~ ~~_.s~...,~ °= N --°. Comments: MECHANICAL PERMIT FEES _ ~,~ ~~ _ ~~ Forced Air Systems ~ tC~ ~~ ~~~'f:`v~. Rai u~.~-~ 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 N®TIC 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 CommerciaUResidential (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 ( -~~~ T®TAL"~~... SIGNA URE OF CONTRACTOR OR AUTHORIZED AGENT Current License on File Yes ®No O NA DATE WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS ~S YOUR PERMIT Comment: Approved By: :, ~~ ~• ''` POUNDS PRTG: Blair, NE ~ Rev. 12/95 Application Date: ~`~ Permit Fee: $ ~~ a<~ '~~ JOB ADDRESS ~n ,,~ fj LEGAL ~ • DescR. LOT No. BLK• TRACT D SEE ATTACHED SHEET OWNER ^~4"~ gpt `y .(~ { _§¢°' MAIL ADDRESS ZIP PHONE 3 CONT~2ACTOR ~ ~ MAIL ADDRESS 5. PHONE LICENSE NO., _ .~ F .~ .. \\ ~ j yy {p , d 4• Class of Work: D NEW RESIDENTIAL D NEW COMMERCIAL ~ REMODELING/ADDITIONS D REPLACEMENTS 5• Describe Work: "~ `` g~ Comments: MECHANICAL P RMIT 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 N®TIC ~u I hereby certify that I have read and examined this Forced Alr S~stem~/Air Conditioner application and know the same to be true and correct. All ~, Unit Replacement ~ F 6, ~~ ~ 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 t `C.~~,~.) SIG URE OF CONTRACTON OR AUTHORIZED AGENT a _ r ' ~ ®~ ~ _ `° ~; Current License on File Yes D No DNA DATE WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Comment: Approved By: POUNDS PRTG: Blair, NE Rev. 12/95 ~~~ ~.p Application Date: ~ --~ ~ ~s.• Permit Fee: $ ~~' Comments: { ~~.,. t rim ~ ~ ,~i:~ _ ~ 'Cry i'~t N®TIC I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. 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. VMIC PLUMBING PERMIT FEES 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 ~-- ~_~ . (1~ Outside Water Faucet ........... $3.00 x Water Service ........................$10.00 Sewer ............................... ..... $10.00 Groundwork ...................... ..... $10.00 Septic Tank & Laterals ..... ..... $10.00 Lawn Sprinkler System..... .....$10.00 Sprinkler System .............. ..... $30.00 (Commercial) Permit Issuance Fee ............. $15.00 I ` ~~ ° ~-~(.~~ Current License on File es ®No ®NA WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT Comment: POUNDS PRTG: Blair, NE Rev.12/95 Jurisdiction of City of flair, Nebraska 218 South 16th Street flair, Nebraska 68008 (402) 426-4191 Permit Application Date: ~ ~~~' ~l Permit Fee: $ ~ ~~ ~ JOB ADDRESS } LEGAL ~ • DESCR. LOT NO. BLK. TRACT O SEE ATTACHED SHEET OWNER MAIL ADDRE_ ZIP PHONE CONTRACTOR '~ . MAIL ADDRESS ~. } / PHONE LICENSE NO, 4. Class of Work: O NEW RESIDENTIAL ®NEW COMMERCIAL REMODELING/ADDITIONS O UPGRADE SERVICE 5. Describe Work: ~~ f (~? , !l~'.e~% `~.: `~'"~ ~~.:/'~~.'. ~ .~ -~~,4. ,. ~ C~s`~`~'`•€ ~` 6• Current License on File Yes O No ®NA New Service Fee = (Amp Fee + $2.00 per branch circuit) 1-100 Amp Fee ............................ $ 13.00 101-200 Amp Fee ............................ $ 18.00 201-300 Amp Fee ............................ $ 30.00 301-400 Amp Fee ............................ $ 42.00 401-500 Amp Fee ............................ $ 55.00 501-600 Amp Fee ............................ $ 67.00 601-700 Amp Fee ............................ $ 80.00 701-800 Amp Fee ............................ $ 92.00 801-900 Amp Fee ............................ $105.00 901-1000 Amp ................................. $117.00 IF OVER 1000 Amp 1st 1000 Amp Fee ....................... $117.00 Each additional 100 Amps .......,... $ 13.00 N®TIC I hereby certify #hat I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel t p visions of any other state or local law regulating ruction or the performance of construction. ,,,,,,,,,,,~~~~~~ // s'!. SIGNATURE~F~NTRACTOR OR AUTHORIZED AGENT ~/~~~~ DATE LCTRICAL PERMIT FEES Upgrade Existing Service ...... $10.00 Temporary Service ................ $10.00 Fire Alarm System ................. $10.00 Signs ..................................... $15.00 Miscellaneous Apparatus ...... $11.00 Commercial/Multi-Famify and II Upgrades: c~ # of Circuits x $2.00 Amp Fee ~ - ,,~- ~,~~~ Amp Fee + Circuit Total ~~ New Residential: (Finished Area) Single/Two Family Dwellings sq. ft. x .045 Receptacle/Switch Outlets Fixtures ~ x $.75 Residential/Commercial Appliance # Fixect Outlets x $3.00 ~~~ ~~ Power Apparatus (220 Volts) # Apparatus ~= x $3.00 Permit Issuance Fee ............. $15.00 `TT°L ~~-~ WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS Y®UR PERMIT Comment: Approved 6y: - -- __ ~' nev. ivya ++ ~.+ an it ~ w~a iJ V J- AO.Jli 1'L8:J.3 V1ir 1. t ' ~CTTY OF BLAIl2 ^ WASHINGTO;N-~000NTY ^ O~T(HER I n r~ LOCATION OF INSPECTION:~'~/.~'~~.~~r' ~HCt.~(~. ~('j~~l /~' 1~1k~~ NAME OF OWNER:,~~ .~/c ~~n/UcIV! ~ONTRACfOR: _. DATE INSPECTION REQUESTED: ~ O ~ PERMIT NO: //=~~f TIME INSPECTION REQUESTED; TYPEOFINSPECTIONREQUESTED; ,~TC%!~(~ BUILDING: f ^ FOOTING ^ FRAMING ^ DRYWALL U`FINAL UTILITIES; ^ SEWER TAP ^ SEWER ^ SEPTIC ^WATER TAP ^ REMOTE ^WATER SERVICE ELECTRICAL: ^ ROUGH IN // ^ FIXTURES [~'PIN7NAL ^ MOTORS ^ PERMANENTSERVICE ^ TEMPORARY SERVICE MECHANICAL: ^ ROUGH-W ^ A/C [FINAL PLUMBING: ^GROUNDWORK ^ROUGH-IN ~INAL RESULTSOFTHEINSPECTION: ~PASSED(srExorFS) ^FAILED(s~cxorFS> NOTES/REMARKS: _ ~ ~~ 331J~L~1V1a11V~YB+C:'1'1V1®116L~'YVltil' ~`~. CITY OF BLABt ^. WASHINGTON COUNTY ^/ OTHER I~.: LOCATION OFBYSPECTIONt: j ~~O~l C ((~~'~' ~' NAME~OFOWNER: ~+-~ JGf)t'ISU1'l CONTRACTOR: ')\. ~. (~P"`-"`~~~% ~- ~DATEINSPECTIONREQUESTED: ~0/`- 3'.l~' PERMIT NO: ~. TIME INSPECTION REQUESTED: ~ U-• TYPE OF INSPECTION REQUESTED: BUILDING: ' ^ FOOTING ^ FRAMING ^ DRYWALL ^ FINAL UTILITIES: ~ ~ -^SEIVER TAP ^SEWER ^SEPTIC ^WATER TAP ~ - ~ ^REMOTE, ^WATER SERVICE ~ ~1 ' ~ I~~Q~~`~-N_ ~ ~ ELECTRICAL: - ~ f ~ ,~4• I_ ~~ 15 ~ sv ROUGHIN ^FLYTURES ^FINAL ^MOTORS ~~. (~ 1 GL PERMANENT SERVICE ^ TEMPORARYSERVICE - ' MECHANICAL: ^ROUGH-IN ^A/C ^FINALi i PLIMBING:.• ~ ' ^GROUNDWORK ~ ^ROUGH-IN ^,FINAL RESULTS OF THE INSPECTION: ^PASSED(s~xorrs)p I-~1~F,A-R.~ED(s~nNO/rFS). ~/n ~' N0~/REMARKS: ~~ ~DEJ.~ 7_/O /7~sCl.G / n//I ~,CJO/~i~ .CAM/i/;.F~ ~iC~ ~is/.ct®.~T~G~G' ~~~5..`I. INSPE ~Ga~=,..~__ / - ~-~ ~ I '~11=~tll~~. __ ... -. ' / iVSPL DATE OFINSPECTIONMADE: ~~ ~~ ~C~ 7IplE,; '~ °~ ~~ ~ '~j Q~ ~ ' ~ II UATEOFINSPECTIONMADE: TIME: ~ ~, CALLED ~OPPD\ _ TO CONNECT SERVICE: ^ YES ^NO i i GILLEU UPPL\ . _ ~ TO.CONNECP SER\^CE: ~' ^~VFS ^ MJ WAb"COFPiCESTA'FFTOGILLOPPU,. ^1'ES ^NO' BLF21- ~~I WV11~)FFfCESTAPFTQC,1II01'PDA_ ~-.; ~l'Fti.-[ ]1yO ©LR1 - -;'. bU1L1~'11Y1x11Y~JYL+l1'L1CJrlV-2~L~YV1S:1 13u~w~avuilvai.~~:iivY~`iiruiviui- '~ CITY OF BLAIR ^ WASHINGTON COUN2TY ^ OTHER _ ~ ~CTTY OF BLABt ^ WASHING(T'ON^C~OU'N/TY ^ ~OT,HfER ,(~~ „ ~ /l ~.~p`~ LOCATION OFINSPECTION: ~-f"Q " J 5 I ~Q~~~ ~' I LOCATION OFINSPECTION: W' v ~'^" ~G~~V /' t w:r~L~t Y~~`tt' NAME OF OWNER; ~I1(l~c' ~y ~j/ ~ CONTRACTOR: ~ ~~jVevw~~~lyil(~ i NAME OFO\VNER: ~~5~ ~Y~~v/~me~CNTRACTOR: ~~~~u~~2~P"""'" DATE INSPECTIONREQUESTED: o~P ~ / 10 pERNBTNO: I~~~ I .DATE INSPECTION REQUESTED: ~~ I ~ I~o PERMiTNO: TIME INSPECTION REQUESTED: ~ ` m ' ~ TIME INSPECTION REQUESTED; ~ ~ ' ~ ~ S ~ 3C.~ '. . it ~ - - TYPE OF INSPECTION REQUESTER:. ~ ' ~ TYPE OF INSPECTION REQUESTED: "fig",~y~/ BUILDING: - ~ - ~ -_ -BUH.DING: . rt ~! ~ ~ ~~ ^ FOOTING ^ FRAMING ^ DRYWALL ^ PINAL i i ^ FOOTING ^ FRAMING ^ DRYWALL FINAL V1J '~/~ ~ ^m S , ~Uu i'y UTILITIES: -- ~ ~~~ , UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^WATER TAP ~ ~ ~ ^ SEIVER'TAP ^ SEWER ^ SEPTIC ^ WATER T ~ /fi ^ REMOTE ^ WATERSERVICE I „ ,: ' ^ REMOTE ^WATER SERVICE ~J" ,~o~ ELECTRICAL:. ~ ~~;i II ~ E. ELECTRICAL:, ~ ~~~ ~ ' ROUGH IN FIXTURES ^ FINAL ^ MOTORS i ~`hUl,It r, __ {~ ROUGH IN ^.FIXTURES ^ FINAL ^ MOTORS ~ ~ '' (~ I i PERMANENT SERVICE ^TEMPORARYSERVICE ~L~ ~~- 'lu ' ^~PERMANENT SERVICE ^ TEMPORARY SERVICE ~~ MECHANICAL: ~~ II f MECHANICALE ~~~~- ~/` J~~~ C~ - .ROUGH- I L~ ~~ - ~ ^ IN ^.A1C ^ FINAL ~ ^ ROUGH IN ^ A/C ^ FINAL G ^ ~ l ~c~~~ PLUMBING: , ~ C - -~~ I i_. PLUMBING:.. - .I ^GROUNDWORK ^ ROUGH-IN ^ FINAL ~ III ^ GROUNDWORK ^ ROUGH-IN ^ FINAL ~ J ~i RESULTS OF THEINSPECTION:~ASSED(s~xorES> ^FAB.ED(sEeNOirs) RESULTS OF THE INSPECTION: ^PASSED(s/FE~xo7FS) .~AII.ED(s~xoras) P _ NOTES/REMARKS: / ~ NOT EMARKS: ~ e~" D~ ~ ~~ ~~"" ~ ! i ~ ~9 O ~A ~ ~~ E~ ~/Y~~ i • GIG ~ INSPECTOR: / yy~~ / C - - O ~ DATE.OF INSPECTION MAD - ` ` TIME: ~ / ~ ~ I I. .DATE OF INSPECTION MADE: _ TTME: ~ ~ ~ - S 6 CALLED OPPD1 TO CONNECC SERVICE: IIX','ES ^NO J I CALLED OPP-D\ TO CONNECT SERVICE: ^ YES ^NO ; WADt7`.Q~FICES'FA~I'TUC4LLOPPD\ /~T, ^1'FS ^NO BLR1 ~_\PANT OFPI08 STAFF TO CALL OPpD\.-.:.^YES ^N0©LR1 %3lJ.SLllil'~J~a 11~1w9~'A~ili-d.~iS91®I t~.~e~'49~6:i' .uvas~Litvu lied a~vtivle 161:!1 viol ii \.r ` ^.CTTYOFBLAB2 ^ 1VASH/IN,G/T~ON000NTY ^ OTHER ,~/~ I'I ,~CTTYOFBCADI ^ WASHINGTONCOUNTY ^ OTHER LOCATION OF INSPECTION: ~ -l`-~~~/~~ ~//~~~- ;i LOCATIONOFINSPECTION: K,~I 1.1~.V~-~N11'fY12V~~ ~NAMHOF.OWNER:CONTRACTOR: NAME OFOIVNER: '~-- S. ~~-~(Y~~CO~NTRA~ CI'oR: ,DATE INSPECTION REQUESTED: ~ 1/~PERMTT NO: DATE INSPECTIONREQUESTED: O- PERMIT NO: TIMEINSPECITONREQUESTED: ~~ _ ~ TIME INSPECTION REQUESTED: , ~ ~~i TYPE-OFINSPRCT[ON REQUESTED:. ~ ~ ~~I TYPE OF INSPECTION REQUESTED: i -:BUILDING: - ~(p~~~'~ ~ ~~ BUILDING: ~~~~ ^~FOOTING ^ FRAMING ^ DRYWALL ^ FINAL (((XXX ~ /v~~ ~ ^ FOOTING ^ FRAMING ^ DRYWALL ^ FINAL - ~~ UTILITIES: ~ ~~ ~ ..~ UTILITIES: ^SEWER TAP ^SEWER '^SEPTIC ^WATER TAP ~' p~p//~ ~ ^SEWER TAP ^SEWER ^SEPTIC ^WATER TAP < ~~ _~iw~ , ' ^ REMOTE ^WATER SERVICE L~~ ~~~ ~ ''I ^ REMOTE. ^WATER SERVICE 'ELECTRICAL:~` (-o Cp~L,F~`~~:/ ELECTRICAL: i! ~^ ROUGH IN ^ FIXTURES ^ FINAL ^ MOTORS ~-, ~~.~. ~ ~/`/ - ' F ^ ROUGH IN ^ FLYTURES ^ FINAL ^ MOTORS ^PERMANENTSERVICE ^TEMPORARYSERVICE ~%~~/'-+ ,-.!.~~' ~(~ - ^PERMANENTSERVICE ^TEMPORARYSERVICE ~`(~~~/ ~J ~~ ~G ~: MECHANICAL: ~O" " ~~ L\~~ MECHANICAL: ~ ^ ROUGH-IN ^ A/C ^ FINAL ~~ ^ ROUGH-IN ^ A(C ^ FINAL (~(~ ~f'~~ \a ~ . ',PL,UMBINGi PLUMBING; / Y `` ~~ /~~~~(O~~ ^GROUNDWORK ^ROUGH-W ^FINAL ''~. - ^,GROUNDWORK /ROUGH-IN ^FINAL ~~ ~~~~~~ i 'RESULTS OFTHEINSPECTION: ^PASSED~s~xorFS> ATLED(s~xorPs>. I~'', RESULTS OF THEINSPECTiON:.r SSED(sEExo7FS) ^FAR.ED(sEExorts) - ~ f~' 'r -~ ~NOTESIREMARKS: i NOTES/RFr~1ARKS: III i i ~' INSPECTOR: ~ ~ ~ I INSP. •_,., GJ o DATE OF INSPECTION MADE: ~ - / TIMC ~ ~ ~ ! j DATE OF INSPECTION.MADE: - ~ TIME: ld C CALLED OPPD\ TO CONNECT SERVICE: ^ 1 ES ^ \p i CALLED OPPD\ TO CONNECT SERVICE: ^ YES ^ NO '.~VANT:UhPMGSTAFP TO CAi.LOPPDV~ ^t"FS -^A~O ©LR1 ' ]VA~TOPPICb'STAhF I0:C11L01'Pl)~. _- []A'FS ^aVO BLRi -~ - i __-rte.. _ -++~Y. ii~ti:r~rr ri-~cv~~~.,~.i v~~Y ---- ' r ° -l)1.71~1~)lYV Vf~.~Y~11J.C~V11lJl~'( 11~.L`lr Vl'G~l _ -•., irrCw CITYOFBLAB2 ^ WASIIINGTONCOUNTY ^ OTHER ~~ CTTYOFBLAIR ^ WASHINGTONCOUNTY ^ OTCHE^RI ~Q ~CATIONOFINSPECTION: 5~ O ~~L ~' LOCATIONOFINSPECTION:. 1~n'~~~ S~\~ ' `~~S NAME OFOIVNER; Sc1Pa_~ L~y~11-J OcONTRA~CI'/R~~ ~~~-r+-lC. NAMEOFOWNER: .~. ~e~~~~"V/'nle~coNTRACTOR: _ DATE INSPECTIONREQUESTED: y-1 9~~PERMITNO: ~~ ~C~ - DATE INSPECTIONREQUFSTED: ~//{~~~~/jf~~~-~~~~~~(~~y,~,~~P*.ER~MTTNO: TIME INSPECTION REQUESTED: ..+~ '1Y1D TIMEINSPEC'ITONREQUESTED:__~~"-1' TYPEOFINSPECTWNREQUESTED: ~ TYPE OFINSPEGTIONREQUESTED: // BUILDING: ~ , BUILDING: ^ POOTING ^ FRAMING ^ DRYWALL ^ FINAL ^ FOOTING ^_FRAMING ^ DRYWALL ^ FINAL UTILITIES; /~~\. ~/' -, UTILITIES: '" ^SEIVERTAP ^SEWER ^SEPTIC' ^WATER TAP ~ `,nvp}~ds~ ~ ^SEWERTAP^SEWFR ^SEPTIC ^WATER TAP _._.. _._.- --- ----- ----- -~L --~~ -~'--_ t---- ^ REMOTE ^WATER SERVICE (~-~`^\~ ~~~ , ^ REMOTE ^WATER SERVICE ELECTRICAL: ~ \/ `\~` ~ ~ ELECTRICAL. ' 1 ~~~ ~ ~ - LL^ ~IROUGH IN ^ FIXTURES ^ FINAL ^ MOTORS /// ~ ^ ROUGH IN ^ FIXTURES ^ FINAL ^ MOTORS _ ~4~PERMANENTSERVICE ^TEMPORARYSERVICE .~ ~: ~ ^PERMANENTSERVICE ^TEMPORARYSERVICE MECHAMCAL: - ! MECHANICAL: ^ ROUGH-IN ~ ^ A/C ^ FINAL ~ ~ ^ ROUGH-IN ^ PJC ^ FINAL PLUMBING: PLUMBING: ^ GROUNDWORK ^ ROUGH-IN ^ FINAL ~ ^ GROUNDWORK .ROUGH-IN RESULTS OF THEINSPECTfON: ~ASSED~saExorrsp ^FAII.EDISEexorFS) - ~~ RESULTS OF THEINSPECTiON:. ^PASSED~sr.~xo Fs) ^FAILED(s~xo'tEr) NOTES/REMARKS: NOTES/REMARKS: ~, - INSPEC ~ i ~!i: INSPECTOR: / U / G. DATE OF INSPECTION MADE: ~1 TIME: ~(~ ~ ~~ ~! -~ DATE OF INSPECTION.MADE: TIME:. ~/ ~-. jI CALLEDOPPD\ TO CONNECTSERVICE: ^YES ^NO ~ :-~ °~--CALLEDOPPD\ TO CONNECTSERVICE: ^YES ^NO .WANT;OFFICESTAFFTOCALI:OPPD\ ~ ;:. :_,. ~~YFS, :; ~ NO ,,.E3Cii~ ! 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