BP7515'The City Cf lath uilelin errvtit tail
Permit 7515
Issued: 01/01/1997
Completed: 02/13/1997
®wner: Ken Rhoades
Address: 1762 Washington Street
Blair, NE 68008
Phone:
Section: Township:
Subdivision:
Remodel Store -Video Store
Inspections Date By
02113/1997 DEM
Remarks
Contractors
Thermal ®ptions
Range:
Lot:
Type: Industrial/Commercial -Remodeling
Valuation: $200.00
Final Inspection of Project
General Contractor
Permit Fee: $15.00
Issue Fee:
Deposit Amt.:
Receipt
Block:
Pass
Permit Issued
~~
LEGAL
1 . DESCR. LOT ND.
~ BLK. TACT
®SEE ATTACHED SHEET
OW -''
2 MAI ADDRESS Zlp PHONE
. ~ - ~ ~.
TO ~ MAI RESS ZIP PHONE
4. Class of Work: O NEW O ADDI ON O REMODEL
5. Describe Work: _„~~~~ ~ ~,~ ,~ ~~ ~,~ ' ®Finished Basement ®Unfinished Basement
6. Total Sq. Footage (Inoluding Basement and Garage): Total Finished Area:
c~
7. Valuation of Work: $
Floodway O Yes O No Dev. Permit
Elev. Cert.
$. Floodplain: fringe O Yes O No BFE
9. Current Zoning: ~~~ O Site Plan Attached ~ Complete Plans Attached
10. State Fire Marshall Required: Yes O No Approximate Completion Date , p '~
Inspections Required and Fees
11. Special Use Permit Required: O Yes O No
Utilities
12. Variance Required: O Yes O No Sewer Water Service
13. Minimum Setbacks: Front Side Rear
Septic
Remote
14. Sidewalk Required: O Yes O No Waiver Approved Stop Box Card
Buildina
NOTICE Footings Drywall '~
Separate permits are required for electrical, plumbing, heating, ventilating and air (before finish)
conditioning, and septic systems, By my signature below, I acknowledge that payment
of the building permit application fee does not constitute issuance of this building Framing / Final
permit. I further agree that construction covered by this permit application shall not be
commenced until I have received a copy of this application form signed bythe Building Electrical
Inspector.
I hereby agree to perform the proposed work in accordance with the specifications set Rough-in °~ Fixtures
forth above and in accordance with the codes/ordinances of the City of Blair and the
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spermitisvoidifworkisnotcommencedwithin Final Permanent Service
180 days or is~n completed within 2 years of ate of issue. Temporary Service
~~ e 7
SIGNATU OF OWNER/CONTRACTOR DATE Mechanical
Rough•in A\C
Comment: ~,,~.~~G'~~ ~- rte. ~~~ Final
~,~~GC,j~'~~~~ Plumbing
Ground Work
Rough-in Final
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS~YOUR PERMIT
POUNDS PRTG: Blair, NE Rev. 8/96
{
,CITY OF BL~,IR "' [~]~ WASHINGTON COUNTY ~ O~~
LOCATION OF INSPECTION: :f fG~ ,~„~`° ~~~~~ /~,~
r ~~,!~~
NAME OF OWNER: ~.'~./rC~/~J `~
CONTRACTOR: ,sy
DATE INSPECTION REQUESTED: o~//~ % pERMIT N0: OJ ~.]
TIME INSPECTION REQUESTED; -
TYPE OF INSPECTION REQUESTED: /~.~'i%J/Uir/~ ~.`~G`
BUILDING:
^ FOOTING ^ FRAMING ^ DRYWALL ~ jO FINAL
UTILITIES:
^ SEWER TAP ^ SEWER ~ SEPTIC ^ WATER TAP
^ REMOTE ^ WATER SERVICE
ELECTRICAL:
^ ROUGH IN ^ FD~'I'URES ~ ~~ ~ MOTORS
^ PERMANENT SERVICE [] TEMpp~y SERVICE
MECHANICAL:
^ ROUGH IN ~ A/C [~ ~~
PLUMBING:
^ GROUNDWORK [~ ROUGH IN ^ FINAL
RESULTS OF THE INSPECTION: ~ASSED (sue rro~rES~ ^ FAII,ED ~s~ xo~s~
NOTES/RFMARKS:
DATE OF INSPECTION
+uv1G: ~ G (X.V
CALLED OPPD\ TO CONNECT SERVICE: '
^ YES ^ NO
~FFICE STAFF TO CALL Opp
W D\__ . [~ y~ [ENO BLR 1