M0289The City of Blair Building Permit Detail
Permit #: 0289 Issued: 12/07/1998
Completed: 12/08/1998
Owner: Fern Rhoades
Address: 977 North 25th Ave
Blair, NE 68008
Phone: 426-3727
Section: Township:
Subdivision:
140000 BTU furnace replacement
Inspections Date By
12/08/1998 KAR
Remarks
Type: Mechanical Miscellaneous
Valuation:
Range:
Lot:
Mechanical Final
Permit Fee: $10.00
Issue Fee: $15.00
Deposit Amt.:
Receipt #:
Block:
Pass
Contractors
Beebe Refrigeration, Htg. & A/C, Inc. General Contractor Permit # Issued
Application Date:
Permit Fee: $
JOB ADDRESS "° _-
1 OWNER p ~ ~ MAIL ADDRESS ~ ZIP ~ , PHO
M ~ ~ ~,
2 CONTRTOR AIL ADDRESS ~ ~PHQNE LICENSE N0~
3. Class of Work: ®COMMERCIAL RESIDENTIAL ®NEW ®ADDITION ®ALTERATION ®REPAIR EPLACEMENT
4• Describe Work:
Central A/C ~ - ~ Tons MECHANICAL MIT F
~~`
Furnace ~~' ~ BTU/H Forced Air/Heat Pump Systems -Per Unit
Commercial/Residential (New) ..................................... ............... $25.00
# of Units '~C Air-Conditioner Unit -Per Unit
Furnace Commercial/Residential (New) ..................................... ............... $10.00
Forced Air Systems/Air Conditioner -~'~ ~ M
Unit Replacement Per Unit Commercial/Residential .... ............... $10.00
Completion Date:
I Refrigeration Units/Coolers/Lines/Compressor -
Per Unit Commercial (New or Replacement) ...... ...... ............... $10.00
Comments:
Appliance Vent/Fans ...............................$10.00
Boiler ....................................................... $15.00
Duct System ............................................$10.00
Gas/Air ®utlets .................. x $2.00
N®TIE Radiant Heat Systems ............................$25.00
I hereby certify that I have read and examined this
application and know the same to be true and correct. Al l
provisions of laws and ordinances governing this type of
Modular Home ..........
............
................ $15.00
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 Permit Issuance Fee ............................... $15.00
construction.
T®TAL .
`~ ;~
S NATURE OF CONTRACTOR OR AUTHORIZED AGENT
J~ ~.~ ~ ~ Current License on File Yes ®No ®NA
DATE
Comment:
WHEN PROPERLY VALIDATED (IN THIS SPAC .)THIS IS~YOUR PERMIT
Approved °J
POUNDS PRTG: Blair, NE / Rev. 4/90
INS
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[]-`CITY OF BLAIR ~ WASHINGTON COUNTY 0 OTHER
LOCATION OF WSPECTION: '-~~ i ~ ~d ~'~! .-a'""`3; ~~' p -~-
NAME OF OWNER• 3~' fF ;'1 .~;
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CONTRACTO
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DATE INSPECTION REQUESTED:
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~S PERMIT N0: =-~-;y.
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TIME INSPECTION REQUESTED
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TYPE OF INSPECTION REQUESTED: _ _
"J~ l~ Cam' ~
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j BUILDING;
~ ^ FOOTING ^ FRAMING 0 DRYWALL ^ FINAL
I
UTILITIES:
^ SEWER TAP
^ SEWER
i
^ SEPTIC
^ WATER TAP
^ REMOTE ^ WATER SERVICE
~ ELECTRICAL:
II~ ~ ROUGH IN ^ FIXTURES ^ FINAL ~] MOTORS
I
f, -: ~ PERMANENT SERVICE
0 TEMPORARY SERVICE _
MECHANICAL:
]ROUGH-IN ~] A/C Q FINAL '~,~ ~r~; ~~, n, ~
~`i ~_-
4 1. ~.~„ ,i t~~
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PLUMBING:
Q GROUNDWORK
Q ROUGH-W
^ FINAL
RESULTS OF THE INSPECTION:
i. SSED Is~rro~rFSaFAILED (s~rroi~s~
NOTES/REMARKS:
1 INSPECTOR: p~
DATE OF INSPECTION MADE: - "f "~ Q TIC; f t
,~-
CALLED OPPD\ TO CONNECT SERVICE: ^ YES ^ NO
~~
WANT OFFICE STAFF TO CALL OPPD\ ^ YES ^ N0 BtR 1
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