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E0230 Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 (402) 426-4191 Permit /~,, ~ A lication Date: ~~1 ~ °+' Permit Fee: $ ~ pP 4• Class of Work: O NEW RESIDENTIAL O NEW COMMERCIAL ®REMODELING/ADDITIONS UPGRADE SERVICE 5• Describe Work: 6• Current License on File O Yes O No O 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 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. ELECTRICAL 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-Family and All Upgrades: # 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 s T®TAL WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT Comment: Approvec~By; ~~ POUNDS PRTG: Blair, NE Rev. 12/95