P0101The City of Blair Building Permit Detail
Permit #: 0101 Issued: 10/09/1998
Completed: 10/13/1998
Owner: Roland Rasmussen
Address: 11578 Co Rd 27
Blair, NE 68008
Type: Plumbing Miscellaneous
Valuation:
Permit Fee: $10.00
Issue Fee: $15.00
Deposit Amt.:
Receipt #:
Phone:
Section: Township:
Subdivision:
replace laterals
Inspections Date By
10/13/1998 KAR
Range:
Lot:
Septic -Laterals & Drainfields
Block:
Pass
Remarks
Contractors
Henton Trenching, Inc. General Contractor Permit # Issued
ll Jurisd
Application Date: ~ (~ ~" ~ '~~
fiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
Fax (402) 426-4195
(402) 426-4191
x ~`
Permit Fee: $ -~`'
4• Describe Work:
Comments: ~ LUNi81NG PERMIT FEES
Modular Home ...................... $15.00
Type of Fixture No.
Kitchen .................................. $8.00 x
Bath ................................... .... $8.00 x
Rough-In Bath ................... ....$4.00 x
Slop Sink/Laundry Tray ..... .... $5.00 x
Water Heater ..................... .... $3.00 x
Outside Water Faucet ....... .... $3.00 x
Drinking Fountain .............. .... $3.00 x
Water Service .................,,.. ....$10.00
N®TIC Sewer ................................ .... $10.00
I hereby certify that I have read and examined this Groundwork ....................... ....$10.00
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of
Septic T-~ Laterals ......
....$10.00
~ .
work will be complied with whether specified herein or not. Lawn Sprinkler System ..... .... $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 Sprinkler System ............... .... $30.00
law regulating construction or the performance of (Commercial)
construction.
Gas/VVater Piping System
(Commercial) ....................... ..... $30.00
~
~, f"
Permit Issuance Fee ............. $15.00 ~ ~.
~a
~' ~~'
SIGNATURE 0 CONTRACTOR OR AUTHORIZED AGENT r~
~ r
i
DATE Current License on File Yes O No ®NA
WHEN PROPERLY VALIDATED (IN THIS SPACE) ~~HIS IS YO~1R PERMIT
~,
Comment: Approved By: ~ ,,
,a- ,
POUNDS PRTG: Blair, NE '~`° "''-' '~ ~ Rev. 4/98
__ ~ i
_-
---.--
-- _~
® ~° I INS CI T _
- ,'~: i
- f [I_~ CITY OF BLAIR [] WASHINGTON COUNTY ^ 0'~g2
'~LOCATIONOFINSPECTION: . ~, ~) ~ :' ~ `~ ,~..4;~
NAME OF 0 ~ ` -' -°°.
WNER: ~ ' f _ ~~~""' ° ~ e(~1~''I'RACTOR: ~f ~f _~ 3- -~ ~->-~ ,.~y '
,~ ~ - >'
DATE INSPECTION REQUESTED `"f `` F r,~` ,h ~ ~ t 1
_- ` ~-' ,'
'~ ' PERMIT N0: ~ .
TTMEINSPECTIONREQUESTED: ~ c~ j
`~ 1
TYPE OF INSPECTION REQUESTED: I
BUILDING:
g ~ J-FOOTII~IG ^ FRAMING [] DRYWALL ^ FINAL
UTILITIES: ~ ; ~i,' .~ ~~
^ SEWER TAP ^ SEWER SEPTIC f ' ~ $ ` " ~ ~~~ I
,. ^ ~]-WATER TAP ' ~ ~ f f , ,,r I
I
^ REMOTE ^ WATER SERVICE
f
ELECTRICAL:
~ -
~ []ROUGHIN []-FIXTURES ^FINAL ~
~, ^ MOTORS
I
~` ' ' ~ PERMANENT SERVICE [] TEMPORARY SERVICE ...i'
MECHANICAL: I
I
E~
- ^ ROUGH-IN ^ A[C ^.FWAL 1
~ i
~ ~
PLUMBING. ~
^ GROUNDWORK ^ ROUGH-I ~r~, ~
!~
RESULTS OF THE INSPECTIO
SSED Is~~ro~s) ^FAILED (s~ivoTES)
~-, r-
NOTES/REMARKS:
~, , _~
~ WSPEC
~, - E:
j . DATE OF INSPECTION MADE'
-TIME: ~~ , 9
f . CALLED OPPD\ TO CONNECT SERVICE:
Q YES ~ NO
.~ ~ -'
~ ~ ~ ~ WANT OFFICE STAFF TO CALL OPPD\ ~_ . ~ ~
`------
- ^ YES ^NO BLR 1
s
`~~.`~
~~~~ ~
~l ~ J
~~
v E~~y
~~~ ,
,a^ ~ ' 6
1 ey
[ ~, V R ~ '~ ~
, ^
~,l ~
t
~~
~° 1
~ry
"f
~, ~~ ' `~.
,~
~., =~