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BP74954. Class of Work: NEW 5. Describe Work: D ADDITION D REMODEL D Finished Basement (~ l~nfinished Basement 6. Total Sq. FOOtage (Including Basement and Garage): ~~ ~ Total Finished Area: ~~~ ~~ 7. Valuation of Work: $ ~ ~ ~ Floodway O Yes O No Dev. Permit $. Floodplain: Fringe O Yes O No BFE Elev. Cerf. 9. Current Zoning: 10. State Fire Marshall Required: D Yes D No 11. Special Use Permit Required: D Yes D No 12. Variance Required: D Yes D No o 13. Minimum Setbacks: Front ~-~ Side ~ Rear 14. Sidewalk Required:es D No Waiver Approved NOTICE Separate permits are required for electrical, plumbing, heating, ventilating and air conditioning, and septicsystems. By mysignature below, I acknowledgethat payment of the building permit application fee does not constitute issuance of this building permit. I further agree that construction covered by this permit application shall not be commenced until I have re eived a copy of this application form signed by the Building Inspector. I hereby agree a rm th prop d work in accordance with the specifications set forth above d i accor a codes/ordinances of the City of Blair and the State of ra a. I un r a h his permit is void if work is not commenced within 18 4 ' not a wi In 2 years of date of issue. r i SIGNATURE OF Comm nt: ~~~~ ~~~ ~~~ ,;~ ~-~ Plan Attached ~ J~,1~6~~lans Attached rate Completion Date ~;~~! Inspections Required and Fees Utilities ~,, Sewer ~' ~° (~~'°~ v,-~ ~s;i...~ Water Service ~ `f"'~~1 `~~~ ~ t% ~ ~, Septic Remote Stop Box Card Build• a Footings ~ Drywall (before finish) ~ Framing ~ Final / ~ (' ~n ` ~ 1 Electrical ~ y ~~ ~ ~~~ Rough-in ~' Fixtures f 0 Final Permanent Service Temporary Service Mechanical ,~~,~e~-~~ Rough-in ' A\C -"" Final r Plumbing °~ C Ground Work ~ ~ . Rough-in . Final u- WHEN PROPERLY VALIDATED (IN THIS SPACE~~SHjS IS YOUR PERMIT POUNDS PRTG: Blair, NE Rev. 8/96 Jurisdiction of City of Blair, Nebraska 218 South 16th Street Blair, Nebraska 68008 (402) 426-4191 Application Date: / ~' ~ ° ~ ~ ~ Permit Fee: $ ~'~' `~ JOB ADDRESS ~~ ~ ~~~ ~~~'~~~ 5. Describe Work: ~ Comments: 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 Outside Water Faucet ........... $3.00 x Water Service ........................ fD r ©CJ $10.00 N®TIC Sewer $10.00 ~ /®~~ o d 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 Tank & Laterals .......... $10.00 work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority Lawn Sprinkler System .......... $10.00 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. ` ~a ~ /~_, Permit Issuance Fee ............. /S: ~-d $15.00 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT TOTAL ~~~ /% ~o ~-~~ DATE Current License on File OYes ®No O NA WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT :,omment: Ap roved By: ~~~ ~ ~~~ POUNDS PRTG: Blair, NE Rev.12/95 LDT ZZ l_p,F~~EN' S ST l t_L M EA DOW ZN~ dD D. S 24 N. 24 ~~ ~T 1 D.D~ ~I Q N ~ ~• D 24~'~' ~T ~-'e.~-T" ~,~' IQ ~~ L_I~NG ~ cam, ~vE, 1~.0~ O ~J ~ ~_ r~ N t9 ~r ~x Z , ~ X J~- ~ ~ ~: ~~s ~ ~~ -~ s~ ~o~ ~~~ Application Date: ~- ~ ~° 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 NOTICE 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. SIGNATURE OF CONTRACTOR OR AUTHORIZED AG DATE L TICAL PERMIT F S Upgrade Existing Service ....., $10.00 Temporary Service ................ $10.00 ~~ r ~~ 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 ~~` o~ 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 ~~'® T~T~~ ~~, /lam WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS Y®UR PERMIT Comment: Approved By: x 4~-.v-.,,,.. ,...." POUNDS PRTG.-Blair, NE Rev. 12/95 Application Date: =~ Permit Fee: $ JOB ADDRESS ~ v .~ ~ ~~ C ~ ~ ~ ~_ ` ~ LEGAL LOT NO. BLK. TRACT 1 • DESCR. O SEE ATTACHED SHEET OWNER 2 ~ ~ ° MAILADDRESS ZIP PHONE . ~ "~ ~ ___._ _ CONTRACTOR 3. MAIL ADDRESS ~ _ PHONE LICENSE NO. 4. Class of Work: *}NEW RESIDENTIAL O NEW COMMERCIAL ®REMODELING/ADDITIONS O REPLACEMENTS 5• Describe Work: Comments: 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. i~ OF CONTRACTOR OR AUTHORIZED AGENT PLUMBING PERMIT FEES Type of Fixture No. Kitchen .................................. $8.00 x I Bath $8.00 x ~' ~ ~, a~ Rough-In Bath ....................... $4.00 x ~ ~& Utility ..................................... $5.00 x ~~ Water Heater ......................... $3.00 x ~_ - ~~ Outside Water Faucet ........... $3.00 x ~- Water Service ........................ $10.00 Sewer .................................... $10.00 Groundwork ........................... t $10.00 Septic Tank & Laterals .......... $10.00 Lawn Sprinkler System.......... $10.00 Sprinkler System ................... $30.00 (Commercial) Permit Issuance Fee ............. $15.00 ~~ t ~? ~ TOTAL ~~ DATE I Current License on File OYes ^ NO ®NA WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT ;omment: Approved B ; .s ~ _ , ~- ~°' a .... - . ~,~ ru~nus rn i ~ -eiair, rvt Rev. 12/95 Jurisdiction of City of Slair, Nebraska 218 South 16th Street Slair, Nebraska 68008 (402) 4264191 6 Application Date: Permit Fee: $ ~-~/~ ~ ~~ Per UonitCommercial/Residential New `~e ~~ ( ) ................................... . $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) ................. 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 $10.00 construction. Permit Issuance Fee .............$15.00 ~~~~ CONTRACTOR OR AUTHORIZED AGENT ~~~ j ~-% Current License on File ®Yes ®No ®NA DATE WHEN PROPERLY VALIDATED (IN THI~`SP C~E~_.IFIIS IS Y®UR PERMIT Comment: Approved Oy: ~°~ POUNDS PRTG.-Blair, NE Rev. 12195 ~]\CTTY OF BLAIIt ^ WASHINGTON COUNTY ^ OTHER LOCATION OF INSPECTION: ~~ L/ ~~~ Z~I ~ ~~ ~~~7 /- NAME OFOWNER: ~ ~. ~ ~n~ Yt.Iph~,n2/1 CONTRACTOR: nS .yh, ~ 1t -~i' CR'a 0 ~~~~ 1 DATEINSPECTIONREQUFSTED: ~ ~ ~r/~y9~ 7 pERMITNO: ~~ TIME INSPECTION REQUESTED: ~ _ TYPEOFINSPECTIONREQUESTED: ~,~F~ %a~i~2E~ ~ Ca'bE. BUILDING: ~CU~~~d,.~~p_ _„c`~L~,1~0 ^ FOOTING ^ FRAMING ^ DRYWALL FINAL J6iJ UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE ELECTRICAL: ^ ROUGH IN ^ FIXTURES ^ FINAL ^ MOTORS ^ PERMANENT SERVICE ^ TEMPORARY SERVICE MECHANICAL: ^ ROUGH-IN ^ A/C ^ FINAL PLUMBING: ^ GROUNDWORK ^ ROUGH-IN ^ FINAL ^ CITY OFBLAIR ^ WASHINGTONCOUNTY ^ OTHER LOCATION OFINSPECTION: ~ ~? L~ ~ ~ ? y ~ h ~~~' i NAME OF OWNER: ~' ~~ ~ ccyy p -G CONTRACTOR: 1 \-~ r~ W. I `~^~5 DATE INSPECTION REQUESTED: CJ~~9/Y/7 PERM[TNO: ~~T~~ TIME INSPECTION REQUESTED: ~ - / '~' TYPE OF INSPECTION REQUESTED: BUILDING: ^ FOOTING ^ FRAMING ^ DRYWALL FINAL "<UTILITIES: ^ SEWER.TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^REMOTE ^WATERSERVICE ELECTRICAL: ' ^ ROUGH IN ~ ^ FDCPURES ^ FINAL ^ MOTORS ^ PERMANINT SERVICE ^ TEMPORARY SERVICE MECHANICAL: ^ ROUGH-IN ~ ^ A/C ^ FINAL PLUMBING: ^ GROUNDWORK ^ ROUGH-IN ^ FINAL RESULTS OF THEINSPE/C/TI~ON: ~ASSED(sEENO'r~s~ ^FAIl.ED(sF.~NOrFS~ NOTES ARKS: ~r (~_~~ S~crJ,C~~ ~~EE~O~ / SFJt?Fi~~ IN 0: DATE OF INSPECTION MADE: ~ TIME: L D~ CALLED OPPD\ TO CONNECT SERVICE: ^ YES ^ NO WANTOFFICESTAFFTOCALLOPPD\ ^YES ^NO BLR1 ', ~"~, ~~-111LL" li`Vl-x~'lrT~'P'P~G~1111~1`Y`1S:L`~Yl'JiS,'](.----~`-- ~>~~ CICYOFBLAIl2 }~~'7 WASHINGTON COUNTY ^ OTHER ~~ LOCATION OFINSPECCION ~'yla n ~,¢.r~~ !r'i ~'C NAME OFOWNER:_ !~V~ .~ ~~n~.tiA~ CONTRACTOR: ~~~%~ DATE INSPECTIONREQUFSTED;~X'~ 9 PERMIT NO: c~~ ~~ TIME INSPECTION REQUESTED: ~` TYPE OF INSPECTION REQUESTED: ~ I ,~~./,,,_,~ BUILDING: /~-[jll~I-"'iv ' `~ ^ FOOTING ^ FRAMING ^ DRYWALL ^ FINAL ~~'~ 3 /~ ~' UTILITIES; ~~~~,~ ^ SEWER TAP [SEWER ^ SEPTIC ^ WATERTAP ^ REMOTE ^ WATER SERVICE RESULTS OF THEINSPECTION:• ^PASSED(sFJ;NOrES7 i ', ~ _ i ~ DATE OF INSPECPION TBdE: CALLED OPPD\ TO CONNECT SERVICE; ^ YES ^ NO WANT OFFICESTAFF TO CALL OPPD\ •^ YFS , ^ NO BLR 1 CPCYOFBLABL WAS~a;-,. -. -.~~~<.: ._a~ ~""._,.,~._.~..._._._..._. ~~ ^ HINGTONCOUNTY ^ OTHER /\ L ~rl- LOCATION OFINSPE(C~ITON: ~ ~ I I\" ~ ~ `~ NAME OF OWNER: 1\~ ~~~ CONTRACTOR: ~~~t-~ DATE INSPECTIONREQUESTED: PERMYI'NO: 7y9~s- TIME INSPECTION REQUESTED: ~ TYPE OF INSPECTION REQUESTED: BUILDING: ^ FOOTING ^ FRAMING ^ DRYWALL ^ FINAL UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE ELECTRICAL: ^ ROUGH IN ^ FDfTURES ^ FINAL ^ MOTORS ". ^PERM NIN ~~`R' A TSERVICE ~TEMPORAR YSI3RVIt;E-, MECHANICAL: ^ ROUGH-IN ^ A/C ^ FINAL PLUMBING: ^ GROUNDWORK ^ ROUGH-IN ^ FINAL RESULTS OF THE INSPECTION: yJPASSED(sFENOrES~ ^FAILED(s&ENOrFS~ NOTES/REMARKS: L INS OR: DATE OF INSPECTION MADE: ~ ` ! ` TIME: ~~ CALLEDOPPDV~ Cd ~Z7 TO CONNECT SERVICE: ~ YES ^NO WANT OFFICE STAFF TO CALL OPPD\ /^ YES ^ NO BLR 1 ELECTRICAL: ^ ROUGH IN. ^ FDPPURES ^ FINAL ^ MOTORS ^ PERMANINT SERVICE ^ TEMPORARY SERVICE MECHANICAL: ^ ROUGH-IN ^ A/C ^ FINAL PLUMBIN~~~~ o~G "I~[GROUNDWORK ,^~LRO/_UGH-IN ^FINAL TRES~ULTSOFTHEINSPECTION: ILIre,SED(SEexores) ^FAII,EDCS~NOTFS> NOTES/REMARKS: l INSP DATE OF INSPECTION MADE: TEvBi: /" L G ~~ CALLED OPPD\ TO CONNECP SERVICE: ^ YES ^ NO WANT OFFICE STAFF TO CALL OPPD\ ^ YES ^ NO BLR I ~~CTTYOFBLABt ^ WASHINGTONCOUNTY ^ /DITHER LOCATION OFINSPECFION(:~~ 1~pj ~~~~~-~=A-c-c) ~ d. NAME OP OWNER: ~ /~ ~•c~L~~'4-~4 CONTRACTOR: e/ u~ 4il v °~ DATE INSPECTIONREQUFSTID: ~ '~~-' / PERMITNO: a1 TLWE INSPECTION REQUESTED: /~ TYPE OF INSPECTION REQUESTED: BUILDING: ^ FOOTING ^ FRAMING ^ DRYWALL ^ FINAL UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE ELECTRICAL: ^ ROUGH IN ^ FDCTURES ^ FINAL ^ MOTORS ^ PERMANENT SERVICE ^ TEMPORARY SERVICE MECHAMCAL: ^ ROUGH-IN ^ A/C ^ FINAL PLUMBING: ~~GROUNDWORK ^,ROUGH-IN ^ FINAL RESULTS OFTHEINSPECTION: ~PASSID(s~xorFS) ^FAi1.ED(sEaxoTFS) NOTES/REMARKS: // DATEOFINSPECTIONMADE: ~ TIME. ~/ GG~ J CALLED OPPD\ ~ TO CONNECT SERVICE: ^ YES ^NO WANT OFFICE STAFF TO CALL OPPD\ ^ YES ^ NO- BLR 1 L~}'CTI'YOFBLADt ^ WASHINGTONCOUNTY ^ OTHERr ///LOCATION OF INSPECTION: ~ ~ `' ~y - ~ l~ ~ '' 1 NAME OF OWNER: / ~? n CONTRACTOR: ~•~ ~u/C/'L'~' DATE INSPECTION REQUESTED: LI ~~ w `l ~ PERMIT NO: ~ ~ I~ ~~ TIME INSPECTION REQUESTED: n/` TYPE OF INSPECTION REQUESTED: BUILDING: ^ FOOTING ^ FRAMING ^ DRYWALL ^ FINAL UTILITIES: ^ SEWER TAP ^:SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE ELECTRICAL: ^ ROUGH IN ^ FDi'6URES ^ FINAL ^ MOTORS l ,FRMANINT SERVICE ^ TEMPORARY SERVICE U" MECHANICAL: ^ ROUGH-IN ^ A/C ^ FINAL PLUMBING: ^ GROUNDWORK ^ ROUGH-IN ^ FINAL RESULTS OF THE INSPECTION: ~ ASSID(sEExorFS) ^FAII.ID(sEexoTFS) NOTES/REMARKS: I?/' ~/~.~ .~1i~ INSPECTOR: ~ P v DATHOFINSPECTIONMADE: ~ j[/ ~ ~ / TIME: /X •~O CALLED OP D\~~ lY TO CONNECT SERVICE: ~-YFS ^ NO WANT OFFICE STAFF TO CALL OPPD\ V""" ~^ NO BLR 1 dOFBLAIIt ^ WASHINGTONCOUNTY /^~ OTHER ~\ LOCATION OFINSPECTION: ~ ~~ 1 U~~U ~ ~ • ~~,u~~~)l~) NAME OF OWNER: ~ ~ ~ ~~ Lam-' CONTRACTOR: ~ - `, ~-~~'9.~,~ -y-~ / DATE INSPECTIONREQUESTID: ~~ ~ PERMIT NO: / / ^/ TIME INSPECTION REQUESTED: ~ C' `~ TYPE OF INSPECTION REQUESTED: BUH.D NG: DOTING ^ FRAMING ^ DRYWALL ^ FINAL ILITIES: ^ SEWIIt TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE ELECTRICAL: ^ ROUGH IN ^ FIXTURES ^ FINAL ^ MOTORS ^ PERMANINT SERVICE ^ TEMPORARY SERVICE MECHAMCAL: ^ ROUGH-IN ^ A/C ^ FINAL PLUMBING: ^ GROUNDWORK ^//ROUGH-IN ^ FINAL RESULTS OF THE INSPECTION: f~TPASSED(s~xorFS) ^FAE.ED(seexoTFS) NOTES/REMARKS: !7S ' IN R: DATEOF.INSPECTIONMADE: `~ ~~~~~ ~~ TIME: ~4" `~' CALLID.OPPD\ TO CONNECP SERVICE: ^ YES ^ NO WANT OPFICESTA FF TO CALL OPPDA ^ YFS ^ NO BLA I ~"-r.•~~1JV 1JJLiJ\t7f-11\A71"'L` V1iV1\-1t~1J1:~V141--`V--~~ ^ CTTYOFBLAIIt ^ WASHIN^TO~NCjfO/UNT,Yf~^ O(THIIt/~ LOCATION OF INSPECTION: v 7 ' '" `~ 7 NAME OF OWNER: p-I'°7CONTRACTOR• DATEINSPECTIONREQUFSTED: ~$ / / PERMTTNO: ~ ~~ TIME INSPECTION REQUESTED: TYPE OF INSPECTION REQUESTED: BUILDING: ^ FOOTING ^ FRAMING ©DRYWALL ^ FINAL ~~ UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE ELECTRICAL: ^ ROUGH IN ^ FIXTURES ^ FINAL ^ MOTORS ^ PERMANENT SERVICE ^ TEMPORARYSERVICE MECHANICAL: ^ ROUGH-IN ^ A/C ^ FINAL PLUMBING: ^ GROUNDWORK ^ ROUGH-IN ^ FINAL RESULTS OFTHEINSPECTION: PASSID cs~xorFS) ^FAD.ID (sgxoTas> NOTES/REMARKS: INSP ~~ G DATE OF INSPECTION MADE: TIME: CALLED OPPD\ TO CONNECT SERVICE: ^ YES ^ NO WANT OFFICE STAFF TO CALL OPPD\ ^ YFS ^ NO BLR 1 ~CTTY OF BLART ^ WASHINGTON COUNTY OTHER LOCATION OFINSPECCION: ~~~ ~ -~~~ ~I J NAME OF OWNER: ~O/~(~SO/~ p CONTRACTOR: -~~f/m//``~ DATEINSPECTIONREQUESTED:~~I~~ / 7 PERMITNO: f T / s TIME INSPECTION REQUESTED: ~/' TYPE OF INSPECTION REQUESTED: BUILDING: ^ FOOTING ^ FRAMING ^ DRYWALL ^ FINAL UTILITIES: ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE ELECTRICAL: ^ ROUGH IN ^ FIXTURES ^ FINAI: ^ MOTORS F ^ PERMANINT SERVICE ^ TEMPORARY SERVICE MECHANICAL: „ ^ ROUGH-IN ^ A/C ^ FINAL PLUMBING: ^ GROUNDWORK ~ [~ROUGH-IN ^ FINAL RESULTS OF THEINSPECTiON:- ~(JPASSED(s~xores) ^FAB.ED(s~xorFS) NOTES/REMARKS: INSPE ~ / DATE OFINSPECTfONMADE: ~ ~ TIME: < ~d6~ CALLED OPPD\ TO CONNECT SERVICE: ^ YES ^ NO WANT OFFICE STAF$TO CALL OPPII\ : ^ YES - ^ N0. BLR 1 ~CPTY OF BLAIII ^ WA~HBIGTON COUNTY p^ OTHER\' ~ _ ~' LOCATION OF INSPECTION: !V ~ ~~ rV `"" /1 NAMEOPOWNER: ~~~~~C NTRACTOR: ~~~7L-1 ~p~~1X~%~lV RATE INSPECTION REQUESTED: ~ 2 ~ ~ 7'n~r ~ pERMITNO: / TIME INSPEC[ION REQUESTED: ~ I TYPE OF INSPECTION REQUESTED: BUI DING: FOOTING ^ FRAMING ^ DRYWALL ^ FINAL ~_. ILITIES: f ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP ^ REMOTE ^ WATER SERVICE ELECTRICAL: ^ ROUGH IN ^ FIXTURES ^ FINAL ^ MOTORS ^ PERMANENT SERVICE ^ TEMPORARY SERVICE ~ ~. MECHANICAL: ^ ROUGH-W ^ A/C ^ FINAL PLUMBING: ^ GROUNDWORK ^ ROUGH-IN ^ FINAL i RESULTS OF THE INSPECTION: ASSED(s~x o>FS) ^FAILED(sEExorFS> NOTES/REMARKS: INSPECTOR:Ta-e y,/~' ~ ~~ ~.-6t~. ~, DATE OF INSPECTION MADE: ~.~ ~~ `~"TTME: ~ ~ ~ C~ CALLED OPPD\ TO CONNECT SERVICE: ^ YES ^ NO , WANTOFFICESTAFFTOCALLOPPD\ ^YES ^NO BLR1 NAME OF OWNER: ^ OTHER ~J ~ ~~ ~-~ ~ n~~~T„~,,. Via ~/~ !. js`f~ ~Dic~~ ~ TYPE OF INSPECTION REQUESTED: ~1~~, ~~ ~ ~ ~~ ~~ ~ BUILDING: ~~// - ~ ~,~~8,,..pF~' ^ FOOTING ~FKAMA'G ^ DRYWALL ^ FINAL ~j~,/~,5~,~~p"~`c'~" ~~.UTILITIES: ~~'~,~ /'"lP,~~K P°'""S ^ SEWER TAP ^ SEWER ^ SEPTIC ^ WATER TAP'6~/ ~ ~~ i ^REMOTE ^WATERSERVICE ~ %~ / -~ ELECTRICAL: G =~ /`" ~~°'!`•'L ~~-~S ~UGH IN URES ^ FINAL ^ MOTORS v (A I I ^ PERMANINT VICE ^ TEMPORARY SERVICE i MECHANICAL: ~~//~~ \ ROUGH-IN LyA/C~ ^ FINAL - / aGG PLUMBING: - ^ GROUNDWORK [9~ROUGH-IN ^ FINAL 1~ RESULTS OF THE INSPECTION: ^PASSHD(sEExorFS) ~AILED(sEExoras) j NOTES/REMARKS- fug /~ LL~.S~ IN3 EfB I '7 / DATE OFINSPECTTONMADE:~ ~ ~/ TIME: ~~y~ CALLED OPPD\ TO CONNECT SERVIC& ^ YES ^ NO ,,,,,,~~~~. ;.:BUILDING-INS~~CTI~1V 1~,~Y'OR`r / ~' ~ ` LV( CTTY OF BLAIIt ^ WASHINGTON C'O/UNTY y^ nOTH~/E/R /~ JLOCATIONOFINSPECTION: ~~`1 ~/~~%"~-~~'~-~ "'` - NAME OFOWNER:~ FVP~6 ?LN(~CONTRAGTOR: ~-fc~~~®/1 DATE INSPECTION REQUESTED: ~~~Z~('~-~9~n pFRMITNO: ~~`r"~(- TIME INSPECTION REQUESTED: I _ U6 7 Ll Cpl TYPE OF INSPECTION REQUESTED: BUILDING: ^ FOOTING ^ FRAMING ^ DRYWALL ^ FINAL UTILITIES: - ^ SEWER TAP 'NI SEWER ^ SEPTIC ^ WATER TAP ^ REMOTEWATER SERVICE ELECTRICAL: ^ ROUGH IN ^ FDfTURES ^ FINAL ^ MOTORS ^ PERMANENT SERVICE ^ TEMPORARY SERVICE MECHANICAL: ^ ROUGH-IN ^ A/C~ ^ FINAL ' PLUMBING: ^ GROUNDWORK ^ R OUGH-IN ^ FINAL / RESULTS OF THE INSPECTION: ~PASSED(s~xoTES) ^FAH.ED(s~xorFS> / NOTES/REMARKS: INSPECT6R: ~ ~ `~' "- Q C DATE OF INSPECTION MADE: / TIME: / G CALLED OPPD\ TO CONNECT SERVICE: ^ YES ^ NO t s'~' WANT OFFICE STAFF TO CALL OPPD\ _ ~ , ~^ YES ^ NO BLR 1