E0092Application Date: ~ C ~ ~ ~(
Permit Fee: $ `
', 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 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 Receptacle/Switch ®utlets
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
I~ # Fixeet ®utlets x $3.00
~ ~ Povver Apparatus (220 Volts)
~. P ,.; ,;~ ~;~~ ~~' 1~~ ~ ~ : ~~ # Apparatus x $3.00
SICTNATURE OF CONTRACTOR OR AUTI{ORIZED ACa `NT
~~° a`~ Permit Issuance Fee .............$15.00 6 ~°
DATE
T®°TAL .C~- C~
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS OUR PERMIT
Comment: Approved Sy: r
Rev. 12/95
POUNDS PRTG: Blair, NE
i,~~-L.' ~ L l ~~`~ ~~ ~ L , , ~, ~~.
Application Date: ~~- ~ ~'°
Permit Fee: $
JOB ADDRESS ~ ~,~ ' ~ a I
~ ~~~~ i nT tin BLK. TRACT
Comments:
J ~:
4
f '.r
~~~
M CIi,4NIC,4L 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) .....
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)
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
`' !1
SI~~~IATURE OF CONTRACTOR OR AUTH6~IZED /{~~NT
Current License on File Yes
'ti' ~
DATE /
T®TAL ~ ..
®No ONA
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Comment: Approved By: ~ j
................... $10.00 ~
~..
..................... $10.00
POUNDS PRTG: Blair, NE ~ Rev. 12/95
E ~
Ili _ -
CITY OF BLAIR ^ WASHINGTON COUNTY ^ OTHER
LOCATION OF INSPECTION: f,~ ~ "~~~~-~ ~ !~ ~" ~ =~-~ `°~`'
~' ~, ~ '
~ NAME OF OWNER:~~-'~=^` . '•~ -'-~`~'`Z ~ CONTRACTOR: ' %"
DATE INSPECTION REQUESTED: ~'~''~'' ~ '~ ~' . } PERMIT NO:
~'~~/"'1
TIME INSPECTION REQUESTED:
TYPE OF INSPECTION REQUESTED: ".
z;
~! BUILDING:
~'
~; ^ F0, OTWG ^ FRAMING ^ DRYWALL " ^ FINAL
~,
r UTILITIES:
^ SEWER TAP. ^ SEWER ^ SEPTIC ^ WATER TAP
". -
~.." .
^ REMOTE ; ^ WATER SERVICE
~_
~ ~'
ELECTRICAL:
ROUGH IN ^ FIXTURES ^ FINAL ^ MOTORS
I
^ PERMANINT SERVICE ^ TEMPORARY SERVICE
~,
" ~; MECHANICAL: '~
~ ~~
ROUGH-IN C :'~ '^ FINAL
~'
~~'~ PLUMBING:-
^ GROUNDWORK ^ ROUGH-W . ^ FINAL
~~~
~ `.
f RESULTS OF THE INSPECTION: ~SSED (sEExo~s) ^ FAILED (sEaxo~s) ~~~
(
NOTES/REMARKS:
~ ~g
"
.INSPECTOR., 1=~ ; y r . ,~ `FM/ f ^' ~ ' ~r' .r2
- e, -~~ - -- -~- ~ A '-~ ,~ c' ~.~ .'TIME ~ j,f ~ ~ r _
" DATE OF INSPECTION MADE ~ -
' ~ CALLED OPPD\ - - TO CONNECT SERVICE: ^ -YES ^ NQ
WANTbFFICE STAFF TO CALL OPPD\ ^ YES ^ NO BLR 1
s r
, -