E08691°e City o lair uilding errnit etail
Permit #: 0869
Issued: 11/24/1997
Completed: 02/23/1998
Owner: Clyde Rothfuss
Address: 2066 Davis Drive
Blair, NE 68008
Phone: (402) 533-8034
Section: Township:
Subdivision:
Built a garage and now adding electricity
Inspections Date By
11/26/1997 DEM
02/23/1998 DEM
Remarks
Range:
Lot:
Type: Electrical Miscellaneous
Valuation:
Electrical Rough-ins
Mechanical Final
Permit Fee: $51.30
Issue Fee: $15.00
Deposit Amt.:
Receipt #:
Slock:
Pass Partial
Pass
Contractors
Hardy Construction, Inc. General Contractor Permit Issu~t~
Beebe Refrigeration, Htg. & A/C, Inc. Heating Subcontractor 262 02/O~i~~~$
Dick's Electric Co. Electrical Subcontractor 242 11/24/1~'~7
Application Date: / j~~ ~/
Permit Fee: $ loC~~`" .
JOB ADDRESS "'
~~ ~ ~G
LEGAL
1 • DESCR. LOT No. BLK. TRACT
O SEE ATTACHED SHEET
2, OWNER MAIL ADDRESS ZIP b E
CONTRACTOR + MAILADDRESS PHONE LICENSE ND.
3.
r~
4• Class of Work: O NEW RESIDENTIAL ®NEW COMMERCIAL EMODELING/ADDITIONS ®UPGRADE SERVICE
•.
5• Describe Work: ` ~
6• Current License on File Yes No O NA
ELECTRICAL PERMIT F
New Service Fee = (Amp Fee + $2.00 per branch circuit)
1-100 Amp Fee ............................ $ 13.00 Upgrade Existing Service ....,. $10.00
101-200 Amp Fee ............................ $ 18,00 °~ Temporary Service ................ $10.00
201-300 Amp Fee ............................ $ 30.00 Fire Alarm S stem $10.00
y .................
301-400 Amp Fee ............................ $ 42.00
Signs .....................................$15.00
401-500 Am Fee $ 55.00
p ............................
501-600 Am Fee $ 67,00
p ............................ Miscellaneous Apparatus ...... $11.00
601-700 Amp Fee ............................ $ 80.00 AC/DC Circuit ........................ $5.00
701-800 Amp Fee ............................ $ 92.00
801-900 Amp Fee $105.00 Commercial/Multi-Family and All Upgrades:
901-1000 Amp ................................. $117.00 # of Circuits x $2.00
IF OVER 1000 Amp Amp Fee
1st 1000 Amp Fee ....................... $117.00
Each additional 100 Amps ........... $ 13,00 Amp Fee + Circuit Total
New Residential: (Finished Area)
NOTICE Single/Two Family Dwellings
I hereby certify that I have read and examined this sq. ft. x .045
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of
Modular/Manufactured Homes ....... $30.00
k
i
b
wor
w
ll
e complied with whether specified herein or not.
The granting of a permit does not presume to give authority Receptacle/~vei~ch Outlets
to violate or cancel the provisions of any other state or local Fixtures f x $.75
law regulating construction or the performance of Smoke Detectors x $3.00
construction.
Residential/Commercial Appliance
# Fixed Outlets x $3.00
%' Motor(s) x $3.00
~' ~,~ ~ Power Apparatus (220 Volts)
SI ATURE OF CONTRACT OR AUTHORI GENT . # ApparatUS X $3.00
_ ~ ~~ °~ ~ "~ Permit Issuance Fee ............. $15.00 ~ r ~
DATE
T®TAL
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
Comment: ~ ~ / Approved By: ~ ~
~° lG°~--~ ~ d ,*' ~ - ~ ~ ~ r
POUNDS PRTG: Blair, E
Rev. 8/97
i.
~CTI'Y OF BLAIIt ° ^ ~bIHII$GTON I~:bUNTY OTHER
LOCATION OF INSPECTION: _ - /~~`-f'~-''~ -'JL ~ ~
NAME OF OWNER: ~~` `~~~"~ 'CONTRACTOR:
DATEINSPECTION REQUESTED: ~~ r,~~ ~~, ~+ERMIT N0:
. TIME INSPECTION REQUESTED:
~ih
TYPE OF INSPECTION REQUESTED:
BUILDING:
^ FOgTING ^ FRAIviIIdG ^ DRYWALL ^ FINAL
4 ~ ' ^ SEWER TAP -^ SEWER ^ SEPTIC ^ WATER TAP
~. ^ REMOTE ^ WATER SERVICE , ; ,
I ' / ,/?
ELECTRIC L: 1/ ~~.'
~, ®-ROUGHIN r^ FIXTURES ^ FINAL ^ MOTORS +,
~' ,
r:
`' ^ PERMANENT SERVICE ^ TEMPORARY SERVICE
~,
~' MECHANICAL:
`,
^ ROUGH-W ^ A/C ~ ^ FINAL
PLUMBING:
^ GROUNDWORK ^ ROUGH-IN ^ FINAL
€ RESULTS OF THE INSPECTION: PASSED (sue rro~s> ^ FAILED (sue xo~s)
NOTES/REMARKS:
DATE OF INSPECTION MADE: ~f •-~~ /~ / TIME: ~~ ~~'
CALLED OPPD\ TO CONNECT SERVICE: ^ YES ^ NO
WANT OFFICE STAFF TO CALL OPPD\ ^ YES ^ NO BLR t